HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Cade Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit it
licensed as (n)Contractor*/ gineer/Architect
(Please pri name&circle license type) 5468 8uilding,ictor
*6eneral,8uiid(ng,Residential or Roofing Contractor or any individual certified under 468 F S.to make such an inspection.
On or aboutS'/�a I did personally inspect the roof deck nailing
(Date,
work at: L .r w
r r
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.)
Slin Lure an al License#
N OF FLORIDA
COUNTY OF
Swot to and su ibed before me this 0 day of
by C�!r'r . Who is personally known to me or who has produced
as Identification.
Notary Public,State of Florida
Signature of Notary;
Commisslon Number: �I (seal)
En 01/19/2011 „„...
DAVID VANDERFLIER
MY COMMISSION#FF0;;QW
• y' Arts
EXPIRES March 8,20113
(407)393-ois3 FI0r1daNgj servktl.00m
100# T W ON 6Z8$S9pZ6b au1 Roza-W ka-g0 9t:ZI 9IOZJ8Z180