HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&Cade Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
'._....,,.�,.,._:. .....,.',.,,::.-_,::.:.........-..,... 772-462-2165 or 772-462-2572
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# � f
licensed as a(n)Contractor*/Engineer/Architect
(please print ame&circle license type) *FS468 Building Inspector
*General,Building,Residentloi or Roofing Contractor or any individual certified under 468 F.S.to make such an Inspection.
On or about 47 I/ l , I did personally ins�eet the roof deck nailing
��(,,D//ate) } f
work at: gc;kll
(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.)
S(�n ture an" eal License#
STATE OF FLORIDA
COUNTY OF �
Swot to andsu ribed before me this day of z4,,,,,Z�
by Who Is personal! known to or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
f}
Commission Numk)er._7�/ `.' �"z6,,.��.�� (Sca l)
En 01/19/2011
DAVID VANDERFLIER
'+ * MY COMMISSION#FFoe9660
EXPiwi3 Maroh 9,2018
407 398.8153 Floridallota Barv1C4,COry1
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