HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT8CAN'NE0
By
st
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
Re: Permit # I a X) ( �
I, K i C'4lGZ rzl 1y eLu t L-LnQ
(Please print name & circle license type)
*General, Building, Resi . ential or Roofing Contractor or any
On or about . tilq119— , I did pi
(Date)
work at: 5q/
(Job site ad
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector
certified under 468 F.S. to make such an inspection.
fly inspect the roof deck nailing
—3ell: �il 5/
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S.)
�ignatEureancl�Seal
License #
I
STATE OF FLORIDA Luc-
,
L^- COUNTY OF S+ - �--c-1
Sworn to and subscribed before me this o26 day of 20 /�-
by R c na p w ICc,-�A . Who is personally known to me or who has produced
as identification. j
Notary Public, State ida
Signature of Nota :
Commission Number• ^ (Seal)
En 01/19/2011
•`��YP��' N no , L. Hamilton
L�G0MMZS,0N#EE035845
p EXPIRES;, OCT, 19, 2014
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