HomeMy WebLinkAboutRoof Inspection Affidavit 1
Planning&Development Services
......................,....,.... tc Division
.............._.._.......: :.:::::.. Building&Code Regulation
2300 Virginia Avenue
hi
mmFort Pierce, FL 34982
11
772-462-2165 or 772-462-2172
Fax: 772462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#� J��
ISG/' licensed as a( ConPinginspector
ngineer/Architect
(Please int name&Circle license type) *:FS468 u
`General,Building,Residential or Roofing Contructor or any individual certified under 458 F.S-to make such an inspection,
On or about /W/Y- 15 , I did personally inspect the roof deck nailing;
(Date)
workat:---36010 LlfwC.-r-�
(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 ture and�Jeal License#
STATE OF FLORIDA
COUNTY OF Or
Sworn t •and subscribed before me this day of
by - / j Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida RECEIVED DEC 09-2015
Signature of Notary:
Commission Number: (Seal)
Fn 01/19/2011
1:4 s`- DAVID VANDERFLIER
kc.�`i MY COMMISSION#FF099860
EXP'IRP-S March 9,2019
(607)999-0153 F1ar1daNa1 6ervlce.cern
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