HomeMy WebLinkAboutRoof Inspection Affidavit Public Works Department
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Law-,
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�` Code Compliance Division
COUNTY 2300 Virginia Avenue
• R I D A Fort Pierce, FL 34982 .
772-462-2172
ax:
INSPECTION
INSPECTION AFFIDAVIT
Re: Permit# 1509 - d q0
I, :5kag✓v% 1JG,FC ,CCCI 3 3C24S , licensed as a ntracto * Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential oofing Contractor r any individual certified under 468 F.S.to make such an inspection.
On or about (v Z Z f,5 1 did personally inspect the roof deck nailing and/or
(Date) (circle those that apply)
secondary water barrier work at: 9 Z' S $ 34 �~ ��' /��'• P.`i'C'Z.
(Job site address)
Based upon that examination I haye determined the installation was done according to the
Hurric itigation Retr fit M ual (Based on 553.844 F.S.)
CCC k330 ? c45
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Ski.
Sworn to and subscribed before me this a3 day of 5y YvQ 2015_,
by awv, U)C'l f Q Who is personally known to me or who has produced
F L DL as identification. r
Notary Public,State o arida
Signature of Notary: Np GNENs
Commission Number: L' E�6Q G 1 Y PU (Seal�ublic-State of Florida
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En 09/17/09 - commission p��n
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