HomeMy WebLinkAboutInspection Docs .._.._........................._........._..............._........._.............
Planning& Development Services
:,...::::.._:::,.•: ::..:.:::::.:::....... . .
Building&Code Regulation Division
"on
2300 Virginia Avenue
_ Fort Pierce, FL 349821
..........1b ...... 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# &Q.-y- o�ff c
I, ! 7 licensed as468
Contractor*/ ngineer/Architect
(Please print nine&circle license type) Buildin spector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F_S-to make such on inspection.
i
On or about -i3.:��� _ , I did personally inspect the roof deck nailing
(Date)
work at: l9ZI
(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.)
Si' ture an eal License#
I
STATE OF FLOR
COUNTY OF
Sworn,,,to,and subs ibed before me this day of 20411117by Who is personal) know t me or who has produced
as identification_
Notary Public,State of Florida
signature of Notary: _'6e"
_
Commission Number: (Seel)
En 01/19/2011 „w
DAVID VANDERFLIJER
MY COMMISSION#FF098660
'= EXPIRES March 9,2018
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