HomeMy WebLinkAboutInspection Docs Sep 08 15 02:26p Panda Contract'—'\lnr, 86,17-110251 P.1
I 1—j
Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
o Fort Pierce, FIL 34982
.............. 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
-etre"- . licensed as al(ngontra */Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor orany individual certified under46a F-5,to make such an inspection.
I
On or about C9/70 1 did personally inspect the roof deck nailing
(Date)
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.)
Signature and�7-al License#
STATE OF FLORI PA
COUNTY OF
1
Sworn to and subscribed before me this day of 20-I!'
by :!Se4-1 K 0 Z-e-�L Who is personally known to me or who has produced
as i d e n t Yti—ca—U o—n.
Notary Public,State of Flo ISAAC PEREZ
Signature of Notary: Notary Public-State of Florida VA
'04
Commission Number. o0�
My Comm.Expires may 18.2018
z� 0
Commission#FF 086006
Bonded"through Natimal Notaly Assn.
Ern 01/19/2011