HomeMy WebLinkAboutInspection Docs r' \
Planning&DeAeloprnent Services
Hull.ding&Code Regulation Division
29W Nir`giniaAvenu?e
= Fort Pierce,FL 34582
772-4.t -2 65 or 77 -462-23 72
Fax:772-462-6443
ROOF INSPEC11.0N FFIDA VIT
Re: PerrZ%21 " ] r.
_ ..
I,__. � � &06id!'' , lfcensecd as a(l) "Ontractir*ls
Eng3iteer(ACchiteGC
(Please print name&circle license type) *FS488 if pector
*General,&uIlding,Re9dential orRoofiingcontractor oranytnd7vidao1 cergfttd under468F5.to make such on inspection.
On or about / 1 , i did personally inspect the roof deck nailing
ate
work at. g P—Inn cez/G Q1-
(Jab site address)
Based upon that examination l have determined the installation was-dune according to the Hurricane
Mitigation Retrofit Manual(Based on 5S-3.844 F.S.)
signature and 01, Tense#
STATE OF FLORIDA
COUNTY OFA.
SWQr41 to and subscribed before me this day of Jgpn4a 20-go
by yhas produced
as identification.
Notary Public,State of Fioridad �"`; i:`4
Signature of Notary: 1 ,pj * * MY O.OW188M tEZ0749
EMBES:Much 23%17
Commisslon Number: _ �— (Seal) 110.0—w ,5�vkas
En 02/19/'1011
I ' d 869tr' �N 0NId00d 1VNIGHO NVLZ: 01 9102 ' 91 ' gad