HomeMy WebLinkAboutRoof Inspection Affidavit 03/09/2017 13:18 Gary Marzo, Inc, 772485882'9 H0.809 #001
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-: _"':'`'' Building&Code Regulation Division
2300.Virginia Avenue
Fort Pierce,Fl 34982
77 -r�62-2165 or 772-462-2172
Fax:772-462-5443
ROOF INSPECTION AFFIDAVIT .
Re: Permit
1,r prG! Mik LZO 21:22C. ,licensed as a(n)Contractor*/gngineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
`General,Rulldlno,Residential or Roofing Confractor ar anyindividual certified under 4m F.S.to spoke such an Inspection.
On or about 3 ( t`) Q , I did personally inspect the roof deck nailing
(Date)
work at: I L4 0
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S,)
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Sign tune an eal^� License# -
STATE
OF FLO
CUN
OUN`rY.OF
Sworn to and subscribed before me this day of �—20,_
by ..f, 888ce.7,W Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida R
Signature of Notary:
Commission Number: !Seal)
En 01/19/2011 —+*�+
DAVID VANDIRpLIER
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I'I MY COMMISSION#FF09caso
�'�w;10Y F-XPInES March Q,2010
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