HomeMy WebLinkAboutINSPECTION AFFIDAVITPublic Works Department
Code Compliance Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2172
INSPECTION AFFIDAVIT
Re: Permit #
Fax:772-462-6443
SCANNED
BY
St. Lucie County
I, S -8. , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) _ *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any Individual certified•under 46R F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailing and/or
(Date) (circle those that apply)
secondary water barrier work at:
3 Z -ZT 0 L�4---Aj,-j —
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.) .
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20�
by Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En 09/17/09
(Seal)