HomeMy WebLinkAboutInspection Docs .._..............._........._......_.,:_.;.;:...:..r:........._....._..�_::::=:;:
Planning& Development Services
�,r :. .................... .:.:..;::_:... Regulation Division
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Building 8L Code Reguf � n
2300 Virginia Avenue
Fort Pierce, FL 34982
......................__-.................., 772-462-2165 or 772-462-2172
Fax: 772-4626443
ROOF INSPECTION AFFIDAVIT
Re: Permit.#_ // r _ r
1AV2 licensed as a )Contractor* ngincer/Architect j
(Please print n me&circle license type) *F a )!
Bui ' Inspector
*General,Bullding,Residential or Reofng contractor or any lndlvldual certified under 468 F.S.to make such an hii;pectlon.
On or about `- �-�1�� , I did personally inspect the roof deck nailing
(Date)
work at;
(Job s16 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.)
9CC- 006 ,/`'
Sign ture an eal License#
' .
STATE OF FLORIDA
COUNTY OF !/
Sworn,to a subscribed fore me this /J�--day of 20.4
by `}[. C � Who is Personally y known to me or who has produced
as identificat
ion.
Notary Public,State of Florida
Signature of Notary:
commission Number: (seal)
En 01/19/2011
DAVID VANDMR112-L.IER
MY COMMISSION#FF099560
Nle§-11:11 ° EXPIRES March 0,2010
(ao 3saois3 Pioddallotu 3er►dea,00rn
RECEIVED MAR 15 Zb16
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