HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
SCANNED ROOF INSPECTION AFFIDAVIT
BY St. Lude Coo",
Re: Permit # / O 0 6 - O c' v
RAC-1VED
A(/g 2.9 z018
Pe",.ttin9 D
St.�Ucie count, menr
t
I, 0�7L ��Qsri���a�� ys , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & 6ircle 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 t , I did personally inspect the roof deck nailing
(Date)
work at: 161 S'EJ nfsii9vvltz- 0-
(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.)
and Seal
STATE OF FLORID
COUNTY OF c
06C
License #
Sworn to and subscribed before me this - �2 '� day of - r/`— 2pa
by /f — Who is personally known to me or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary: ; ��►���;; •.; RICKY CARL COCHRAN
Commission Number: Z (Seal) ��`�;"'= NotaryPublic- StateofFlorida
:_' • Commission # GG 172136
�� f4 My Comm. Expires Apr 26, 2022
En 01/19/2011 soruled lhrouyh National Notary Assn.