HomeMy WebLinkAboutInspection Docs FILE COpy
_ zam Public Works Department
a s Code Compliance Division
COUNTY230U Virginia Avenue
• . Fort Pierce, FL 34982 .
772-462-2172 Fax: 772-462-6443
INSPECTION AFFIDAVIT
Re: Permit# \5�6—0-ad's
I, STe he. S-Cbpj2 v�u , licensed as n)Co tactor /Engineer/Architect
(Please 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 ��'/�/- /J , I did personally inspect the roof deck nailing and/or
(Date)- (circle those that apply)
secondary water barrier work at: &( L4AjT-,C. _ek--_Aekk OLVO -R tLYl� -G 34-949
(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
Swot to and subscribed before me this day 20
by�"tt111°v� /,� ri'�?�177Who is persona1;!4,o'—me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary: wt 6 '
Commission Number: (Seal)
En 09/17/09
AUDREYB.HUMPHREY
+= MY COMMISSION 11 FF 174772
Pq EXPIRES:March 6,2019
Bonded Thni t4o!:�ry Publ Underwriters