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HomeMy WebLinkAboutRoof Inspection Affidavit .r....... Planning& Development Services Building&Code Regulation Division 2300 Virginia Avenue „ Fort Pierce, FL 34982 ."...........:::::._........_.. ,.,....,...............�...,..,,,,.,....,..,., 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# & 0 q � 1, , licensed asCa(n)Contractor* gineer/Architect (Please print n e&circle license type) 8 Bui ' nspector *Genera(,Building,Resldentiol or Roofing contractor or any individual certified under 46S F_S-to make such on inspection. On or about 7 .., I did personally inspect the roof deck nailing (Date) ,,,t work at: �7 /(J &Lo -qro /m/e-'/ - (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.) sr� Lure and'• eal License# STATE OF FLORIDA COUNTY OF 6r,L.iIC1 P �j Sworrig and Sub5c Ibed before me this 97 day of 20�� by ✓C(r Who is personally I< awn to me or who has produced i as identificat�r3?P~-^� Notary Public,state of Florida i Signature of Notary: Commission Number:_ (seal) Fn ill/1.9/7011 DAVID VANDERFLIER MY COMMISSION#FF'099ri60 EXPIRES March 9,201a (407)999-GIS3 FlorkkNot©ry$etviCeoortl 3y 15 _Oo ozs'rr ouv'� T00# ZTL'ON 6Z88S9VZdd auj �ozaeW �ae0 8g:8T 8T0Z/LZ/ti0