HomeMy WebLinkAboutInspection Docs RECEIV77D MAR 3 � 16
Public Works Department
f' "I
Code Compliance Division
2300 Virginia Avenue
• R I D AFort Pierce, FL 34982
772-462-2172 Fax: 772-462-6443
INSPECTION AFFIDAVIT
Re: Permit G ✓ lJv L
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print na rie& ircle li ns 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 abou I did personally inspect the roof deck nailing and/or
(Date) Jrethoset
hat ply)
secondary water barrier work at: / v
(Job site address)
Based upon that examination I have determined the installation was done according to the
icane Mitigation Retrofit Manual (Based on 553.844 F.S.)
�nure d S I License#
STATE OF FLORIDA
COUNTY OF� `1 c��
Sworn to and subscribed before me this 3 day of Mal 20 ,
by` ,- 6,!!�% Who is personally known to me or who has produced
as identification.
DEANNA GIVENS
Notary Public,State Florida Y'Po public State of Florida
� •�;� B`�',: NotarY Expires Dec Ab,20A6
Signature of Notary:__
otary P,, in
Commission Number: �5$'1cb _° ° Q�(Semmission#EE 85g76Assn.
Bonded Through National Notary
/IlllC
En 09/17/09