HomeMy WebLinkAboutRoof Inspection Affidavit Public Works Department
R >rh_ Code Compliance Division
COUNTY
2300 Virginia Avenue
• R I . A Fort Pierce, FL 34982
772-462-2172, Fax: 772-462-6443
INSPECTION AFFIDAVIT
Re: Permit# f• 08— l)2n2_I
I, X I avV d Mcxy I al licensed as a(n)Contractor*/Engineer/Architect
(Ple se print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about —2 i- �9�! 1 did personally inspect the roof deck nailing and/or
(Date) (circle those that apply)
secondary water barrier work at: !Eq66 b, f LC `/ C7 6,ercr
(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.)
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before a this day of (A 20�
by&r_'%,<,t1 A'.P.m 1 Who is personally known to me or who has produced
as identification. ..r
LASHAHNA INGRAj.�tPR�w6•
Notary Public,St rida ;r+. .i�•; Notary Public-State of
Signature of No ary: i i =•. .•;My Comm.Expires Dec 2
Commission Nu of s;= Commission#FF 17
„ I�Bonded through National Not
En 09/17/09