HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
ry 2300 Virginia Avenue
Fort Pierce, Fl.34982
............
772-462-2165 or 772-462-21.72
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: PL5rmit#
1, /&Z L9 licensed aa(n)Contractor- ncgineer/Architect
(Please prkit �,P
name&circle license type) tor
*General,Building,Residential or Roofing Contractor or any individual cert1fled under 468 F.S. to make such an inspection,
On or about— --Illao kl I did personally inspect the roof deck nailing
(Date)
work at: 45 f 2
(Job site address)
CO
Based upon that examination I have determined L e installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on 553.844 F.S.)
�AAJIVV - -
SiLure an"eai License#
STATE OF FLORIDA
COUNTY OF
Sworii to and sylgscribed before me this day ofj
,41(ZI 20_&,
,kno�vn to me or who has produced
by 442jia )4�4�4 Who is personally �
as Identification,
Notary Public,State of Florida
Signature of Notary:_
Commission Number: (Seal)
En 0111912m 1
IDAVID VANDERFLIER
My COMMISSION#FF096560
N?'...... EXPIRES March 0,20is
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