HomeMy WebLinkAboutInspection Docs Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
J 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Y
I� C{�`r. , licensed as a( ontractor" Engineer/Architect
(Please print name&+circle license type) *FS4 nspector
*General,Building,Residential or Roofing Contractor or any individual certlfled under468 F.5.to make such an inspection.
On or aboutl� 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.)
SIEQ ture a4deal license#
SIAfE OF FLOR1
COUNTY OF r/ FSB m 2016
Sworn jo and subscribed before me this day of
by Who Is c±rsonatly known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: I
Commission Number: (Seal)
En 01/19/2011
— i DAVID VANDERFLIER
MY COMMISSION#FF099560
' oF6r EXPIRES March B,20iLj
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