HomeMy WebLinkAboutInspection Docs 04/13/2016 14:26 FAX 001
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Public Works Department
Code Compliance Division
COUNTY 2300 Virginia Avenue
• I . A Fort Pierce, FL 34982
772-462-2172 Fax: 772-462-6443
INSPECTION AFFID VIT
e: Permit# .12
I,�(�C(if(� 1�[L�(',l►SCJ , licensed as a( Contracto /Engineer/Architect
(Please print name&circle license type) *F5468 u Ing Inspector
JI General,Building,Residential orRoo}ing Contractor or any individual certified under 468 F.S.to make such an Inspection.
on or about t4i S_1 cP I did personally inspect the roof deck nailing and/or
(Date) (circle those that apply)
s econdary water barrier work at: � Ct/
(Job site address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 r.s.)
CC 417517
Signature and Seal License#
5 AYE OF FLOR pA
COUNTY OF
Sworn to and su r�scribed hefome this 13 day of 20140by y; Ge t.1F• . Who Is personally known to me or who has produced
as Identification.
otary Public,State of FI r
Signature of Notary:
Commission Number: (Seal)
In 09/17/09 ,,�,„��.
57EPHANIE P.SMITH
Notary Pnbllo.State of Florida
My Comm.Explrep Sep 2.2017QPR 1.3 7016 Commisslorr•,�FF 050475
RECEIVED
q- 4=
90w*National Nutary Assn:
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