HomeMy WebLinkAboutINSPECTION AFFIDAVITPublic Works Department
Code Compliance Division
2300 Virginia Avenue
Fort Pierce, Fl. 34982
772-462-2172
INSPECTION AFFIDAVIT
SCANNED
BY
St. Lucie County
Fax:772-462-6443
RECEIVED
JUN 16 2015
Re: Permit g ez0.. t r
licensed as a(n Contractor /Engineer/Architect
(Please print name & circle license type) 'FS468 Building Inspector
*General, Building, Residential or Rooftng Contractor or any individual certified under 468 F.S. to make such an Inspection.
On or about 17�! 4' I did personally inspect the roof deck nailin and/or
(Date) cc ose t t�t apply)
secondary water barrier work at: 490
(job site
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
ignature and Seal
ePt4 13,E 'oor
License H
STATE OF Fl. IDA
COUNTY
Swor V and subscri . of me this day o 20�5
6y x�> ho is PersonallJsn to me or who has produced
as identification.
Notary Public, State .of F ' a
Signature of Notary.
Commission Number:
En 09/17/09
(Seal9EED
ofnmaa�tack E610ai58015
T'd Ebb92962ZZT:01 :WONJ U92:OT ST02-9T-Nnr