HomeMy WebLinkAboutINSPECTION AFFIDAVITPublic Works Department
Code•Compliance Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2112
INSPEMON AFFIDAVIT
Re: Permit# I go5-- 05,/ a
Fax: 772-462-6443
SCANNED
St. Lucie County
1, Lloyd licensed as a(nLontractor•/Engineer/Architect
(Please p intname & circle license type) *F5468 Building Inspector
*General, Building, Residential or Roofing contractor or any individual certified under 468F.S. to make such an Inspection.
On or about I did personally inspect th roof deck nailin ; nd or
(Date) circlet ose that apply)
secondary water barrier work at: i�!) 1 / I Ua NtiQ__`', hCX'_.
(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.)
Lily i�c 6 i 3 7�
ignature and Seal License #
STATE OF FLO DA
COUNTY OF J�LFi rY�i
Swor/� to and su 'cribed b fore this � day of J f AN 20�
by L % Who is personally known to me or who has produced
as identification.
Notary Public, State of
Commission Number:
En 09/17/09
(Seal)
Sheniqua S. Minns
s ~ COMMISSION # 59
ffim
EXPIRES: Sept 9, 2022
i Bonded 7111U Amm Notary