HomeMy WebLinkAboutRoof Inspection Affidavit 2015-46-01 15.55 j .a.tayl,or roe -~ig 772 468 8397 » P 2/2
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Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,Fl.34952
--------- 772-462.2165 or 772.462-2172
Fax:772.462-6443
ROOF INSPECTION AFFIDAVIT
Re; Permit#�� 17
Ith4--u licensed as =contractor* ngineer/Architect
(P6 print narne&circle license type) ector
"General,Building Residential or Roofing Contractor or any Individual cerriped under 468 F S,to make such an inspection.
On or abou!)%'Oa / /,�,�I did personally inspect the roof deck nailing,
(Date}
work at' 6.1fit�
(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.)
Signature and Seal License#
STATE OF FLOR D
COUNTY OF
r
Sworn to- dsubscrl .d before me this � da Y 20f�
by who is a Hall k wn to me or who has produced
as it tion.
I
Notary Pub;! t F a '
Signature ta.,, i
Commission Nurnbe I (Seal)
En 01/1912011
Nnaa,p KAREN S. NIELSEN
`�• •. Cpmmission n FF 115697
My Commisaian Expvex
June 12, x018
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