HomeMy WebLinkAboutRoof Inspection Affidavit RECEIVED MAY 0 8 2012
Public Works Department
Code Compliance Division
NO
2300 Virginia.Avenue
• Fort Pierce, FL 34982
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772-462-2172 Fax: 772-462-6443
INSPECTION AFFIDAVIT
Re: Permit#
I, 0 b e� LuL � , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 3- �- O1 `7 , 1 did personally inspect the roof deck nailing and/or Clez-yr'�-
(Date) (circle those that apply)
Ln/n
secondary water barrier work at:
(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.)
zLa � d1�f' o� 0 G i
Signature and Seal License#
STATE OF FLORI A ,
COUNTY OF
Swor to and subscribed before me this /a•'13�-day of 20
by o 't:% Who is personally known to me or who has produced
as identification.
Notary Public,State of FI rGa��� G%1C
Signature of Notary: �c-�y
Commission Number: (Seal)
En 09/17/09 <°"a"°"a4 KATHRYN E HAYDEN
MY COMMISSION#FF078763
-',!a"off,oa.• EXPIRES December 22,2017
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