HomeMy WebLinkAboutInspection Docs Public Works Department
5k ,:`- Code Compliance Division
�. 2300 Virginia Avenue
• R I . A Fort Pierce, FL 34982
772-462-2172 Fax: 772-462-6443
RECEU
INSPECTION AFFIDAVIT APR 112016
PER N11?-TiNC
St. Lucie County, FL
Re: Permit# 0 _ 01 Zv
I, M\ch AN;L "t LL /� , licensed as n)Cont ctor*/Engineer/Architect
(Please print name&circle license type) * Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 1411 1 did personally inspect the roof deck nailing and/or
(Date) (circle those that apply)
secondary water barrier work at: 70 O L-o r-r A-
(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 F.S.)
• � � CcS�3 4
Signature and Seal License#
STATE OF FLORJIDAl
COUNTY OF
Sworn to and subscribed before me this )( day of J20jto
by IMIoLl3P1 it l e'L Who is Personally known to me or who has produced
as identification.
Notary Public State of Flor' a
Signature otary: `'----
Commission Number: FF—1 l5cotl (Seal)
En 09/17/09 KAREN S. NIELSEN
Commission# FF 115637
=F *�
- o My Commission Expires
June 12, 2018