HomeMy WebLinkAboutInspection Docs 2015-0r- 48 j .a.tayf�, roofing 772 468 8397P 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
ROONNSPECTION AFFIDAVIT
Re: Permit#
1, ' licensed asti��(n)ContractorlyEngineer/Architect
(Please print name&circle license type) * 1S8 v[hspector
*General,Building,Residential or Roofing Controcror or any Individual terrified under 468 F.$.to make such on Inspectlon.
On or about I did personally inspect the roof deck nailing
(64e)
work at:
(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.)
Signa r d eal License
S OF Pio
COUNTY OF
Sworn tqano subscr bed efore me this day of z0jr
by Who s'er,a ally k own eo me or who has produced
as identification,
Notary Pu �ollloldSEgndture of
Commission Number; (Seal)
gn 01/29/2011
KAREN S. WE LSE N
s'" ''•s RECEIVED !UL 14 2015
�; og tom Qrnmin i FF x Fires
My C9mrnission Expiras
Jude 12. 2018
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