HomeMy WebLinkAboutMisc Letters 2015-07-29 12:57 j .a.tayl.or ror!�Jjng 772 468 8397 >> P 1/1
_ Planning& Development Services
Building& Code Regulation Division
0 2300 Virginia Avenue
Fort Pierce, FL 34982
772462-2165 or 772.462.2172
Fax: 772-462-6443 'p
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ROOF INSPECTION AFFIDAVIT ✓
Re: Permit#—LF0*i ';Q I -
1, licensed a fn)Eon;tctoO/Engineer/Architect
(Plea a print name&circle license type) 'FS468 Bing Inspector
'Generol,Building,Residential or Roofing Contractor or any individual certifled under 468 F.S.to make such an inspection.
On or about�1� ' � 1 did personally inspect the roof deck nailing
(Gate)
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.)
P
Signature and Seal license#
STATE OF FI.O
COUNTY OF 4�jAIC
Sworn tgqnd sub. rib d before me this day of z0�
by =i _� _ Who is perolly known to me or who has produced
as identlfi atlon.
Notary Pic, lori
Signature ofTToi^a'ry:
Commission Number: (Seal)
En 01/19/2011 KAREN S. NIELSEN
commission N FF 11 b637
o. My commiso1on Expires
June 12, 2018