HomeMy WebLinkAboutRoof Inspection Affidavit 07/06/2012 09:52 7724626443 SLC INSPECTIONS PAGE 01/01
_ _ Planning&Development services
T r. ' r "FRT Building&Code Regulation Division
2300 Virginia Avenue
e Fort Pierce,FL 349192
-� 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED JUN ro b 7016
Re: Permit#
I, licensed s a(n)Contractor* Engineer/Architect
(Please pn t name&circle license type) ul Ing Inspector
"'General,Building,Residential or Roofing Contractor or anyindividuol certified under468 F.S.to make such an inspection.
On or about 1 did personally inspect the roof deck nailing
(Date)
work at: 2> diL
(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.)
Signature and Seal License#
STATE OF FLORID, t
COUNTY OF S 4-�J Cie—)
Sworn to and subscribed before me this a day of 20�
bye t:$�-- Lai C Se Who is personally known to me or who has produced
as identification.
Notary Public,Stale—of Florida -'- --'�"R �
Signature of Notary•
• � '�,,,,'�"�� DEANNA GIVENS
Commission Number. 6 > ,P °�;'. � ublic State of Florida
i Baa Yom: 2016
° =M Co m.Expires Dec 16,
_ ¢ Y c
M :",n *o; y commission#EE 858761
En 01/19/2011 0 ' Bonded Through National Notary Assn.
f OF FL ��