HomeMy WebLinkAboutInspection Docs 2015-04-30 19:14 j.a.taylor roofing 772 468 8397 >> P 1/1
_ Planning& Development Services
S` Building& Code Regulation Division
WE
2300 Virginia Avenue
Fort Pierce, FL 34982
-- 772-462-2165 or 772-462.2172
Fax; 772.462.6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, 'T licensed as Zg�h�r % ng;neer/Architect
(Please rint name&circle license type) " ildin pector
'General,Building,Resl ential or Roofing Contractor or any Individual certified under 468 F.S.to make such on inspection,
on or about i did personally inspect the roof deck nailing
(D te)
work at:
(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.)
1
Lly.
Signature and Seal license#
STATE:OF FLORI
COUNTY OF •
Sworn o n subscr ed before me this da��of 20 f
by Who is pegnally kno n to me or who has produced
as identification,
Notary Public a of F arida KAREN S. NISLSEN
Signature o Comml'ssfon 0 F 115637
Commission Number: //Sle3rT _ (Seal) My commission Ezp405
June 12. 2018
oil
En 01/19/2011
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