HomeMy WebLinkAboutINSPECTION AFFIDAVITPublic Works Department
Code Compliance Division
` 2360 Virginia Avenue -
Fort Pierce, FL 34982
772-462-2172 Fak:772-4fi7_i;e
INSPECTION AFFIDAVITIF
C
SCANNED APR 2 4 2'019
BY
Re: Permit#- 9��� St. Lucie County Permitting Department
St. Lucie County, FL
licensed as a(n ontractor)/Engineer/Architect
(Please print name& circle ucensetype) 'F5468 nsoect6r
*Genem(.BulldFng, Restdenfrol orRoo/tng Contractor orany1hdMduolcertPedunder468 FS., to make such an Inspection. '
On or about 2 I did personally inspect the roof deck nailing and/or
(Dal) (circle those that.appfy)
I
secondary water barrier work at: Z rj 9Q- 0 A
(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.)
qo a 3 3
Signature and Seal, License #
i
I
• STATE OF FLO IDA 1 �
COUNTYOF -\ -W.G -
�� ^ w
Sw rn to and subscribed before me this .�1, day of- r1 Zp
by d _ Who is personally known to me orwhohas produced
PNI&P as identification.
Notary Public, Sta F odd
Signature of Nota I
Commission Number. jSeal)
i
En 09/17/09 - -
StawOfF iide
commiWN No. sU3/2712021 �
W 81871