HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
,,.,.,,...... .; Building&Code Regulation Division
! 2300 Virginia Avenue
* Fort Pierce,FL 34982
.�.......,..._...._...__ 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
i, gql/ /l/ary licensed as a )Contractor* ngincer/Architect
(Please print n me&circle license type) *F B Sui ' Inspector
*Geneeol,Building,Residentiol or Roofing Contractor or any indiv/dual certified under 468 F.S.to make such an inspection.
On or about_ ''Z /�54 _, I did personally inspect the roof deck nailing
(Date)
work at: 6L)o 'L�, -
(Job sla 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.)
Skn ture an eal License#
�W'
STATE OF FLOFJDAj� j�,�
COUNTY OF
Sworn to a subscribed fore me this r� --day of��� _20- 4
by ' Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
signature of Notary:
Commission Number: (seal)
En 01/19/2011 �i►i+,.� ti
r A DAVID VANDERiFLt(:R
'r MY COMMISSION#FF099.960
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EXPIRES March 9,2010
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RECEIVEQ MAR 15 Zbt6
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