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HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT2015-05-11 12:56 j.a.tayl,-1 roofing . 772 468 8397 >-, P 1/1 CDUNTY� Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or772.462.2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT se PA%eu BY r1 St. wdle Gou Re: Perm�itt## �/ J�O'A -© kl A 1, _ T �1fP Y,%tir Yer licensed as n)Contra Engineer/Architect (Please prifit name & circle license type) *FS nspector *General, Building, Residential or Roafmg Contractor or any Individual certified under 468 F,S, to make such an inspection. On or aboutTi ,1 ! . is I did personally inspect the roof deck nailing (Date) work at' 59M:gzw ZA&- &K� lLis/f,?,dL (Job site address) Eased upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Eased on 5S3,844 F.S.) SignaturFand Seal STATE OF FLORI COUNTY OF Zda License # Swornto nd subscrib tl, afore me this dayyof /9 20-,[j i by s . Who is per�dhally known to me or who has produced as identification. Notary Pup9e, E FI rida Signatureo Notary: ,1 �-� Commission Number: __.F6 1 7„ (Seal) En 01/19/2011 KAREN S. NIELSEN .e Cammission M FF 115637 gvvMy Commission Expires June 12, 2018 11 RECEIVED MAY 1':1 1015