HomeMy WebLinkAboutInspection Docs Planning&Development Services
Building&Cade Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl.34982
772-462-2165 or 772-462-2172
Fax; 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#—jk-oa 06
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Q)w Mlmlu) licensed as a(n)Contractor*/Engineer/Architect
(Please print narrid&circle license type) *FS468 Building inspector
*GErjerol,&uIlding,Residentiol or Roofing Contractor orony individual certlj7ed under-468 F-S.to make such an inspection.
On or about I did personally inspect the roof deck.nailing
(Date)
work at:
(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.)
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Sliture an 4ea I License# .2
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STATE OF FLORIDA
COUNTY OF -7tVUt- --
sworu4o and subscribed before me this day of 7tojwau201
-
by Who is personally known,to me or o has pruduced
as identification,
Notary Public,State of Florida
Signature of Notary:: (Seal)
Commission Number!
En 01119/2011
RIP A"NIN DAVID VANDERFLIER
MY COMMISSION#FF02955a
EXPIFISS March 9,201a
(407)399-0153 Flwid!����
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