HomeMy WebLinkAboutInspection Docs Planning& Development Services
_ Building&Code Regulation Division
2300 Vlrginla Avenue
�. ' Fort Pierce,FL 34982
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Fax:772-462-644,3
ROOF INSPECTION-AFFIDAVIT
Re: Permit#
Ir �' licensed as z(n)Cori ngineer/Architect
(Please grin name&circle license type) *FS in spector
*General,Building,Residential or Roofing contractor or any lndivldual certified under 469 F S.ro make such an inspection.
On or about 1-3 1 did personally inspect the roof deck nailing
(pate)
r ,
work at: L� ,S ezz
(Job site address)
.Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual t8ased on 553,844 F.S.)
SI n ture ancWeal License# .
STATE OF FLORIDA
COUNTY OF
f Sworn and subscribed before me this day-of
by who is Rer5onally known to m r who has produced R�
_ as identification.
T
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 e
"4h��''s'DAVID VANDERFi.ILA
MY COMMISSION OFF092560
EXPIRES March 9,2079
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