HomeMy WebLinkAboutInspection Docs ..............................•.
Planning&Development Services
..
Building&Code Regulation Division
2300 Virginia Avenue
a Fort Pierce, FL 34982
772-4622165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit ft (J �
licensed a-a(n)Contract /Engineer/Architect
(Please print na e&circle (cense type) ui ding Inspector
`General,Building,Residentlol or Roofing(:ontractor or any individual certified under 468 F.S.to make such an Inspection,
l
On or aboutZZ
I did personally inspect the roof deck nailing
(Date)
C '
work at; "ago a5 ti7d rw
(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.)
SI n Lure an ai License#
STATE OF FLORID
COUNTY of _T
SwornA and subscribed before me this day of � o
byWho is ersonall known to me or who has produced
—�-' as Identification.
Notary Public,State of Florida RECEIVED NOV 18 2015
Signature of Notary;
Commission Number: 5 (Seal)
En 01/19/2011 a4►^►tl S
- DAVID VA14DERFLIER
`t MY COMMISSION#FF009680
EXPIRES March 9,2018
(407)34�OtS3 FlorltlaNatary3erylCe,COm
100# ZTE'OH 6Z88S9YZdd -0uI `OzalaW KASO 80:8T STOZ/8T/TT