HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT2014-12-18 15:47 j.a.tay! roofing 772 468 8397 >>
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT `st "Cie
COUnto
Re: Permit#d-j&z
I,fr. �1�lJ7� licensed as a C ntractor Engineer/Architect
(Plea a print name & circle license type) `Fpector
'General, 8ulldlnD. Resldendol or RoofnD Contractor or any Indlolduol certljied under 468 F.S. to make such on Inspection.
Cn or about / I did personally inspect the roof deck nailing
Date)
work at: 9�� Y[Ay�%yo1e� �^�.1; rt•�,r
(Job sIt6 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.)
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t
Signalbre and Seal
License #
STATE OF FLOR
COUNTY OF
Sworn t d subs Ib d before me this _(k— day o 20W
by Who Is perso y nawn to me or who has produced
as identification,
Notary Public, Sta of F or da
SlgnatureofNota cj '
Commission Number: (Seal)
En01/19/2011 KAREN S. NIELSEN
9 rf Coinmisslonu FF 1[5637
My Commission Expires
June 12. 2018