HomeMy WebLinkAbout1206-0265 ROOF INSPECTION AFFIDAVITSCANNEQ
Planning & Development Services 13Y
Building & Code Regulation DivisioT WCIF COUNTY
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
I, C�tG-rsl y\�P In7 �((v Bl licensed as a(n Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 ng Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 23 26 1 ZI did personally inspect the roof deck nailing
(Date)
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.)
DL (!CC 05 8U
Signature and Seal License #
STATE OF FLORIDA
COUNTYOF 15I -LLLC Ai
Sworn toand subscribed before me his (S day of_j.(w� 20_L?—
by r[ &C j a r+ aL &.21 ) Q Who is personally known to me or who has produced
as identification.
c
Notary Public, Stat I rida ��pri ^iltOn
Signature of Notar L580
: J� t �' "'� r'`. 3`at, . J.2014
Commission Number: SS (Seal) JTARYAo
En 01/19/2011 �JY&"
4....P Nancy L. Hamilton
C0MMISSION#EE035845
`EXPIRES:OCT, 19,2014
WWW.AARONNOTARYmm