HomeMy WebLinkAboutRoof Inspection Affidavit 2015-06-08 12:51 j .a.taylor roofing 772 468 8397 >> P 1/1
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
ROOF INSPECTION AFFIDAVIT
Re: permit DIJ2
I, licensed as on
a( tractar'5ngineer/Architect
(Please n name&circle license type) *FS auftWgInspectdr
"General,Building,Residential or Roofing Contractor or any lndlvldual cerUJled under 468 F.S.to make such on inspection.
On or about I did personally inspect the roof deck nailin¢
(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.)
Signaturd and Seal License#
STATE OF FLORD
COUNTY OF lE
Sworn to 3 ubscribed efore me this day f 20�
by . Who Is per ally own to me or who has produced
as identificetlon,
i
Notary Publ�ta_ 1a /
Signature of Notary,
Commisslon Number: (Sea!)
En 01/19/2011
KAREN S. NIELSEN
Commission N FF 116631
:9 My Commigaion Expires
Juno 12, 2018