HomeMy WebLinkAboutInspection Docs Oct 27 15 01:53p Panda Contractors, Inc 8667110251; p.1
Planning&Development Services
Building& Code Regulation Division
® 2300 Virginia Avenue
o , Fort Pierce, FL 34982
...:.._.:.:. ..._:.._:,.::.:..:....:..:..,..:: .._,::, 772-462-2165 or 772-462-2172
Fax: 772-462-6443 -
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a( Con trac /Engineer/Architect
(Please print name&circle license type) *F546 uilc€ing inspector
`General,Building,Residential or Roofrng Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about ��'r/�5�15 I�/%ts�! , I did personally inspect the roof deck nailing
(Date)
work at: `100 —)
(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.)
G c
Ignatureand Se License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day ofLO�
by Who is ers Hall known to me or who has produced
as identification.
Notary Public,State of Florida `V' •••arp��, ISAAC PEKZ
// ` 5' Ue�v
Signature of Notary: �v c'+�. .,� Notary Public-State of Florida
Commission Number: fid [Seal} h1y Comm.Expires May 18,2018
Commission#FF D86006
'"° ;°°` Sandad Through National Nctary Assn.
En.01J19/2011 4 -�B,