HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division SCANNED
2300 Virginia Avenue DY
StLA
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # ��' ! d�
. u County
ReCerVeo
AUG ®92018
P"'Ittin
St• Luce epa �rnenr
COu
I, L Qro, kr ' a e"-r , licensed as a(n) ontractor* Engineer/Architect
(Please print name 9 circle license type) *FS46 nspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about � - a — l ?, , 1 did personally inspect the roof deck nailing
(Date)
work at: 10 Z y /T�
(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.)
C
S' ture and Seal License #
STATE OF FLORIDA
COUNTYOF ! ^—
Sworn to a d subscrib/edpefore me this c2, day of,�y4 i-ss/ 20� %'
by 0-g Cc Who is personally known to me or who has produced
a,cra.,—/ as identification.
Notary Public, State of Florid Signature of Notary:
Commission Number:
En 01/19/2011
(Seal)
RICKY CARL COCHRAN
b Notary Public - State of Florida
' _ Commission # GG 172136
V7 My Comm. Expires Apr 26, 2022
Lk,0, W Banded through Nallonal Notary ltiM