HomeMy WebLinkAboutInspection Docs Public Works Department
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Code Compliance Division
* 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2172 Fax: 772-462-6443
INSPECTION AFFIDAVIT
Re: Permit# lU
I, -- ` ASroNi�a�,s , licensed as a Contractor* Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about ?2_-a too , I did personally inspect the roof deck.nailing and/or
(Date) (circle those that apply)
secondary water barrier work at: 15-q 0\jE2
(job site address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofi anual (Based on 553.844 F.S.)
Ln_" oss-� Z.toZg-1i
Signature and Seal License#
STATE OF FLOR DA
COUNTY OF
Swo to and su scri d before me this day of 1f 201,
by �U ��o1�16%,1 Who is personally known to me or who has produced
C� as if1prit ification.
Notary Pu ilk State-of Florida
Signature of Notary ,`,ar ItAREN S. NIELSEN
Commission Number: �15�o��/ _N Seal ommission# FF 115, s
awe y Commission Expires
June 12, 2018
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En 09/17/09