HomeMy WebLinkAboutInspection Docs ECE1V7D MA;.,_ 4 2016
�r Public Works Department
F �: : -
5 6. Code Compliance Division
2300 Virginia Avenue
• A Fort Pierce, FL 34982
772-462-2172 Fax: 772-462-6443
INSPECTION AFFIDAVIT
Re: Permit#_ 4a 0 —O L/C/j
I, 7`etl� licensed as a(n)Contractor*/Engineer/Architect
(please print rdme&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about i;zx I did personally inspect the roof deck nailing and/or
(Date) / /(circle those that apply)
secondary water barrier work at: `-7o d !��'L-/ / F ea�wof- �
(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.)
44 , G �� �yf
i ature and Seal License#
STATE OF FLORIDA
COUNTY OF SaC•
Sworn to and subscribed before me this day of w%g,l 20 1�
by Q►aeb�.o.,.*_ Who is personally known to me or who has produced
fit. D t— as identification.
Notary Public,State of Florida
Signature of Notary: �-L D L-
Commission Number: 1tS4`1 ea DEANNA GIVENS
Notary Public-State of Florida
En 09/17/09 =2: _ y .1 My Comm.Expires Dec 16,2016
;N;» •oe; Commission EE s5876
No ar Assn.
Bonded Through National Y