HomeMy WebLinkAboutInspection Docs 2015-07-15 20:49 j .a.tay'--- roofing 772 468 8397 , 7724626443 P 1/1
Planning& Development Services
Building& Code Regulation Division
man 2300 Virginia Avenue
Fort Pierce, FL 34982
772.462-2165 or 772.462.2172
Fax:772.462.6443 �'��')�)
r ROOF INSPECTION AFFIDAVITLYJ���1
Re: Permit#
+
1, licensed as ontractor /Engineer/Architect
(Please rent name&circle license type) 4 Buildingt»'spector
'General,Building,Residential or Roafing Contractor or any Individual certified under 468 F.S.to make such an Inspection.
On or abouts I did personally inspect the roof deck nailing
(Date) ,q '
work at: 5q7 &V41'e794
(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.)
Sig ature nd Seal License#
STATE OF FLOR
COUNTY OF
Sworn to a subscri ed efore me this da f 20ji,
by le lly known tome or who has produced
as Identification,
NotaryPub 5ta lorlda
Signature of Notary:
Commisslon Number: (Seal)
En 01/19/2011 KAREN S, NIELSEN
3 Commission u FP 115637
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My Commission Expires
°'�°g�• JUhtz 12. 2018
a,u .
RECEIVED JUL 14 2015