HomeMy WebLinkAboutInspection Docs Feb 1216 06:56a Panda Contractors,,-Ion 866711_Q951 P.1
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
o Fort Pierce, FL 34982
:-.. :.::......-:.-:._.:::...:..:.. ....,:M:.-:_ ,_::........ 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Pero""
WWWO
gip`n licensed as a( )Contractor*%Engineer/Architect
(Please print name &circle license type) *FS4 Inspector
General,Building,Residentraal or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about_T . 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.)
Signature and SPeLicense#.
STATE OF FLORIDA r�
COUNTY OF-� -r,
Sworn to and subscribed before me this 1, day of ��,�t✓G�r�� ZQ
by SZC-,\ S'� Who is e�rsanally known to me orwho has produced
as identification.
Notary Public,State of Florida
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Signature of Notary:
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Commission Number: l5 � ,,r�,g018
En.O1J19/2Q11 14
Assn'
ISAAC PEREZ
°� .`c+ Notary Public-State of Florida
My Comm.Expires May 18,2018
rf d,�,� Commission FF 088006
C Y ° ''•� Bonded Through Nalional Notary Assn,y