HomeMy WebLinkAboutRoof Inspection Affidavit r �
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
* Fort Pierce, FL 34982
IF L_._...._..W.._.._�_..,.... .,_... a,,.,,�n„:,,.,-_.- 772-462-2165 or 772-462-2172
Fax;772-462-6443
ROOF INSPECTION AFFIDAVIT
A 56a-
Re: Permit#, /()—
I,—(5ww .0 licensed as n)ConPing
/Engineer/Architect
(Please print/name&Circle license type) *FS468 upector
'General,Building,Residential or Rupfing Contractor or any individual cerNfled under 468 F.S-to mcke such an inspection.
On or about J ��!'��_ I did personally inspect the roof deck nailing
(Date) %/� �j���h
work at: �1ee#I-eL �.�'%1l/ _l _ �c r w�
(.lob 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,)
S n tore an al License#
STATE OF FLORIDA / T1
COUNTY OFc��L�(/CIP. _ 1�
Swor to and su cribed before me this-42-day of 20 4
by Who is personally known to rrte or who has produced N
as identific'ation.
® M
Notary Public,State;cflorida i�Signature of Notary:
Commission Numbe (Seal) U
En 01/19/2011 v:w
i DAVID VANDERFLIER
ti( " MY COMMISSION#FP0996E0
_A.”] 1=Xp1RISE3 March e,2018
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