HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services
Building&Code Regulation Division
�. 2300 Virginia Avenue
Fort pierce, Fl.34982
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Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit 4—�{� /
fpfli'n�t
licensed as n Contractor /Engineer/Architect
(Pleasarae&circle license type) *FS468 Building Inspector
*General,Building,Ressiidd?ntiol or Roofing Contractor or any incilvidual certified under 468 FS,to make such an inspection.
On or about ! --- I did personally inspect the roof deck nailing
(Date)
work at: ti
� p
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on 558.844 F.S.)
Slin tune and al License#
STA'L'E OF FLORPAL , �7
COUNTY OF ��1�
Swor, to and subscribed before me this i52-5 day of Z0�
by Who is gersanally known tom or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 0./19/2011
�,-`'”" DAVID VANDERFLIER
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