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
ROOF INSPECTION AFFIDAVIT
Re: Permit # /�1-0 0- 0!(-7
licensed as n)Contractor*/ gineer/Architect
(Please pri t)iame & circle license Type) *FS4bbs uuuuuig inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about i6/J. o?y X1h , I did personally inspect the roof deck nailing
(Date) I
work at: -7M-7'P6 vy? o5a L11 nn P_
(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.)
CC•C l:;�a (aS7LJ
Signature and Seal License #
STATE OF FLORIDA@�r)
COUNTY OF /�/(
Sworn to and subscribedbefeje me this day of
byf=. i�� . Who is personally known to me or who has produced
as identification.
Notary Public, State f o • a �3
Signature of Notary• _ ] a�$� t�"oq�'`e`
Commission Number. Fci (Seal) _ G'.0-0 gt
En 01/19/2011 �.#EE1371845•O