HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax: 772-462-6443
SCANNED
ROOF INSPECTION AFFIDAVIT St. Lucie Younty
Re: Per/merit # IJQ — (0 3;? D
I, �1 licensed as a( Gontrac /Engineer/Architect
(Please print n me & c" de Ii nse type) "FS468 Building Inspector
*Genera, Bullding, Resldentlal or Roofing Contractor or any Indlvldual cerdfled under468 F.S. to make such an inspection.
On or about 0 I did personally inspect the roof deck nailing
4(D
work at: 9rQ( /� i4'e-
(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.)
SI n turean eal
STATE OF FLORIDA /
COUNTYOF 67
CC - 005 E-l93
License #
Sworn to and subs Ibedbeforemethis�dayof2016
by / Who is ersonall n to me or who has produced
as Identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: — (Seal)
en Ot/>a/2ou
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MY COMMISSION OFF099560
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