HomeMy WebLinkAboutMisc Letters 2015-07-27 19:25 j.a.taylor rc-: ,ng 772 468 8397 >> 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
'RECEIVED JUL 2 7 2015
ROOF INSP5CTION AFFIDAVIT
Re: Permit# tp
1, licensed asSF468
Contractor*/1;n ineer/Architect
(Please print name&circle license type) Bui in'g1�,pector
*General,Building,Residential or Roofing Contractor or any Individual cert/fled under 468 F.S.to make such on Inspection.
On or about I did personally inspect the roof deck nailing
ate}
work at: �.,� i�' U , 1 eyy-
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on $53.844 f.S.)
Oj a 01
Signature and Seal License#
STATE OF FLQR
COUNTY OF —
Swornt aid su scd ad before me this ay of 201
by Who is,- --..ally kn wn to me or who has produced
as Iden Iflcatlon. '
Notary Pub' of Florid
stgnatu eof
Commission Number: 115(ems (Seal)
En 01/19/2011
Oi,y;,,,, KAREN S. NIELSEN
;•�` �`s'�s Commisa,on a PP 115637
" * My Commission CNP Us
,tuna
12, 201(e
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