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HomeMy WebLinkAboutInspection Docs 2015-07-06 12:53 roofing 772 468 8347 » 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 RECEMI"--D JUL 0 6 2015 Re: Permit#, PERMITTING St. Lucie County, FL I, ► licensed a a( ()Contractor"/Engineer/Architect (Pleas print name& circle license type) "F din Ins ctor General,Building,Residential or Roopng Contractor or any Indiv/duol certified under 468 FS,to make such an Inspection. On or about I did personally Inspect the roof deck nailing (Dat ) work at: 22Z (—L9Q) H k LIE • „ (lob 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,) Signatur6 and Seal License# STATE OF FL'5 A COUNTY OF Sworn tq ano subscribed pefore me this��,p day of 20_L5'by__4L4 h? 141 H��c._ Who Is persopdIly knio­wn' to me or who has produced as Identification. Notary Publ' of Florida Signature o Commission Number; (Seal) En 01/19/2011 -,�o,"�•• ,a,� KAREN S. NI Commission a FF 116631 yrQ My Commission vxpires June 12, 2018