HomeMy WebLinkAboutInspection Docs Planning&Development Services
ri Building& Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce,Fl.34982
:-,�_:.:..: . ......... 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
l, licensed a(a(n)Contractor* ngineer/Architect
(Please print na e&circle license type) nspector
*General,at ilding,Resldentlal orRoofing Contractor or any individoof certified under 468 F_S.to make such an Inspection-
On or about 1 did personally inspect the roof deck nailing
(Date)
work at:
&L
(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.)
NTIV CC r Coy L93
S n ture an eal License#
STATE OF FLORI > r v
COUNTY OF sow M
LL N
Swor to and sub 'bed before me this ,day of 20
by Who Is personally known to me or who has produced Uj
-- as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: {Seal)
En 01/19/2021 �""""""•���, DAVID VANDERFLIER
MY COMMISSION#FF029580
'A411
EXP1fir=S March 9,2018
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