HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: +1 (7721 4626443 Page 3 of 3 0712512016 8:39 AM
Planning&Development Services
( Building& Code Regulation Division
2300 Virginia Avenue
3
Fort Pierce, Fi,34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Z6, 1
c
licensed as a(n)Contractor*/Engineer/Architect
(Plea e. print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roof ng Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about � JJ
w I i3 ` d( , I did personally inspect the roof deck nailing
(Date)
work at:
(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.)
.--- r
Signature and Seal License#
STATE OF FLOCRID
COUNTY OF_✓./ LCi t ! -C.
Sworn to and subscribed before me this f5 day of 20
by _� ti `t� r AAa is-e--rts-saall`�ticEtown to me or who has produced
as identification.
Notary Public,State of Florida (�
Signature of Notary:,' ` � kt� � i-- -L;-)Commission Number:_ _ r
En 01/19/2011 ----
o bflS?YBOBtLiN
I ; My COMMISSION#EE883700
EXPIRES:MAR 13,2017
through 1st State Insurance