HomeMy WebLinkAboutRoof Inspection Affidavit RFanoting&Devp-llapineox Services
Building&Code Regulation Division
2300'Virginia Avenue
r
Fort Plime,FL 349$2
- 772-462-2165 or 7724.62-2172
Fax:772-462-6-443
Rf30F INSPECTICii'±f.{AFFIDALy1T
Re, Permit#A �- f�
I, -,Bfi1� 2 J , licensed asa{nContractor*�Frtgineer/Architect
i
(Phase print name&circle license type) " 5468 nspecEpr
`Generot gvllding Residential or Roofing GOntractor or any individual wrtijled under458 F,5,to make such an Inspection.
On or about /W/ ,I diff personalty inspect the roof deck nailing
work at: ��� � �Gt td�?�'c, A$t. eM
(lob 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 and i License#
STATi:OF FLORIDA
COUNTY OF jer,�:
Sworn to and subscribed before me this, ' day of_ -J.�1W 20Aa
by^ i7 ��dgA ihlh.Qj�W. &U Liown, tto�er,ro,t� o has produced
as Idehtification.
�.ar a OEtl,EhIAY
Notary Public,State of Florida �.` ".�c
Signature of Notary: � ld�� * MY PIKE lssi[mh 23 2017
Commission Number: (Seal) v,4 Haeda6ifiruH x�tats
r��� ` Y
En 03/19/2031
RECEIVED JAN
6 WEI .
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