HomeMy WebLinkAboutRoof Inspection Affidavit SEBC TRSI 772-335-0343 p.1
07/06/2012 09:52 77246" '3 SLC INSPECTIONS( PAGE 01/01
�-rMIM Planting Development Services
Building&Code Regulatiion ®ivisi®n
4 23DD Virginia Avenue
r FL 34992
Font Pierce,
772-462-2165 or 772-462-272
Fax: 772-462-6443
ROOF iNSPEMON AFFIDAVIT �
Re: Permit#t 150 — p0(�j
licensed as a( Contra -Angineer/Architect
(Please p nt name&dreie license types �F t ding inspector
*General,9uilding,Resiaentiol or Roofing Contractor or ony individual certified under 466 F.3.to"make such an inspection.
On or about ~ I did personally inspect the roof deck nailing
(Date)
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.)
77
(?
Signature and Seal License#
STATE OF FLORIDt4
COUNTY OF
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Sworn to and subscribed before me this �` ZO
by �a.,�„�.-cz ��(��.J w ersonallyknownI me or who has produced
—�F'� as identification. .',. _ -_ r ,
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IIA�ME ORTIZ
o��� Notary Public-state of Florlda
Notary Pubiic,5ta a of o /) _ My Comm.Expires Jun 1.2018 _
Signature of Nota G`^"'—t- +�F �oR` Commission#FF 111485
Commission Number_ a A 9 Bonded Through National Nota_ Assn.
En 01/19/2011
RECEIVED MAY 08 2015