HomeMy WebLinkAboutRoof Inspection Affidavit 2015-05-08 14:24 j.a.tayroofing 772 468 8397 P 1/1
_ Planning& Development Services
_ - Building &Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2 ,65 or 772-462.2172
Fax:772.462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#� r
I, licensed as n Contractorw gineer/Architect
(Please print name&circle license type) 'F ullding Inspector
"Generol,8ullding,Residential or Roofing contractor or any Individual certified under 468 F.S.to make such on Inspection,
On or about PC' j did personally inspect the roof deck nailin
(Dat
work at:
(Job slte address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on$53.844 F.S.)
Signa a and Seat License#
STATE OF FLOW
COUNTY pF
Swornived subscribell b 9 fore me this day f MOU 20j_-�'
b +-1 Who is per ally known t me or who has produced
as identi is 10
NotaTE
Signature of Notary:
Commission Number: (Seal)
En 01/19/201.1
"" KAREN S. NIELSEN
42'.*"03�".% Commission k FF 116637
My Commission Expires
;, June 12, 2018
RECEIVED MAY 0 8 2015