HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772462-2 .65 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#51L 15/12 00
1, Irl , licensed as a Contractor* ngineer/Architect
(Please print name&circle 1 erase type) *FS468 Building Inspector
*General,Sullding,Residential or Roofing Contractor or any Individual certified under 468 F.S.to make such an Inspection_
do or about � f /� , I did personally inspect the roof deck nailing
(Date) /
work at: Ajow I9�.
(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 Ad Seal License#
STATE OF FLORIDA
COUNTY OF -5T W=f
Sworn to and subscribed before me this Wb day of bE'e5et __20/6
by -5)Wb.S• 906AA.- Who is personally known to me or who has produced
as idents icavon.
Notary Public,State of Florid Y P6gria DENISELEMAY
Signature of Notary: ` * MY COMMISSION tlEE870742
Commission Number. D pl- (Seal) EXPIRES;March 23,2D17
En 01/19/2011
��°rc�oF n� Bonded ThN Budget Notary Senicee
RECEIVED DEC 0 21015
I 'd 699VON 5NId00d IVNIM0 lNdl6 :ti 9102 'a 'oea