HomeMy WebLinkAboutRoof Inspection Affidavit 2015-06-01 15:55 j.a.taylor 772 468 8397 >> ��• P 1/2
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'Planning& Development Services
f _ - - 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 it 3
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I, licensed a Contractor"' • ngineer/Architect
(Pleas print name&circle license type) ector
*General,Building,Residential or Roofing Contractor or any individual terrified under 468 F.S.to make such an inspection.
On or about 11W I did personally inspect the roof deck nailing
(Date)
work at: q103.5
(Job s to 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,)
Si nature and Seal license#
STATE OF FLOR D
COUNTY OF l
Sworn to 4subscrioCclkipfore me this _da 2015~
by t . Who Is pe Wally k wn to me or who has produced
as Identification.
Notary Pa _
Signature of Notary:
Commission Number; (Seal)
En 01/19/2011KAREN S. NIELSEN
m"+
Commission a FF 116637
My Commission Expiros
;;M," June 12, 2018