HomeMy WebLinkAboutInspection Docs Jan 0516 02:46p Panda Contractors, Inc 8667110251 p.1
„ Planning& Developme t Services
`�= _ . Building&Code Regul tion Division
® 2300 Virginia Avenue
® Fort Pierce, FL 34982
772-462-2165 or 772-462-2172-
Fax:
72-4 2-2172Fax:772-462-6443
ROOF INSPECTION AFFIDAVI
Re: Permit#
licensed as a( Cont ctor�/Engineer/Architect
(Please print name&circle license type) *FS46 ui
'in Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.51
to make such an inspection.
Cln or about� �b I did personally inspect the roof deck nailing
(Date)
IG 3
work at: Y
(Job site address) ,I
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S.)
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S gnature and S License# I
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STATE OF FLORIDA .
COUNTY OF ��`�r���"'✓ iI
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Sworn to and subscribed before me this day of 20Lt
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by Szrs�o � _ : ho is personally known toor who has me p
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as identification.
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Notary Public,State of Florida `
,.'p,P�., ISAAC PERE2 d
Signature of Notary: r `� _'a°y Notary Public-State
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Commission Number: (SeaI1) My Comm.Expires May 18,2018
Commission#FF 08600686006
Banded Through National Notary En0IJ29/2011otary Assn
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RECEOVE
JAN /5 2016 I