HomeMy WebLinkAboutInspection Docs Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
A Fort Pierce, FL 34982
= 772-462-2165 or 772-462-2172 RE rE I rz-
Fax:772-462-6443 APP 0 12016
PEPtAITTING
ROOF INSPECTION AFFIDAVIT St. Lucie County, FL
Re: Permit#
licensed as- (n)ConLracLor ngineer/Architect
(Please print n e&circle license type) *F ding tFspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468 F,S.to make such an inspection.
On or about I did personally inspect the roofdecknailine
C�(Date)/2
work at: L_C?s o X,
(Jab 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.)
5—LIM
S)gn ture anc} eal License#
STATE OF FLORIDA
COUNTY OF � e
Sworn t ndsubscribed before me this day of •d(i' 20_&Iby 1,1'm Who is personally known to me or who has produced
as identification. RECEIVED MAR.31 2010
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
Fn Ol/19/7..Oi..l {��;.,,
DAVID VANDERFLIER
MY COMMISSION#FF099550
EXPIRES Maroh 9,2010
(407 399-0tS3 Florldallota S�rvlcevOrry
TOO# 809'ON 8Z88S9VZEd -0uI `0217eW /a-eO 84:£T 9T0Z/T£/£0