HomeMy WebLinkAboutRoof Inspection Affidavit MAR-20-2017 10:35A FROM T7724626443 P.1
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Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Sc.0 17b i- b.?,IO
I, 464,z, & licensed as a(n)Contractor*/Engineer/Architect
( ase- brit name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certljled under 468 F.S.to make such an Inspection.
On or about-SIS h ' . I did personally inspect the roof deck nailine
(Date)
work at: If
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on SS3.844 F.S.)
`i C
Signature and Seal License#
STATE OF FLOR� `'�'
COUNTY OF
Swor to and subscri ed bef re me this day of ta-4= 20L
by . Who is personally known to me or who has produced
-r' as identification.
Notary Public,State of FI
Signature of Notary
Commission Number: Seal i' '��' yCOMARGUERITESSION FF2384
g,. � MY COMMISSION�FF 238195
g EXPIRES:ocidw 5.M19
En 01/19/2011 9onded ThN NotWY Public Uederrnbre
RECEIVED MARr2 0 2017
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