HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
_ Building& Code Regulation Division
2300 Virginia Avenue
a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# !7� 7 � � C
licensed asrnineer(Archltect
(Please p int name&circle license type) * 'r inspettor
*t,eripral,Building Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 07 7/�'&� , l did personally inspect the roof deck nailing
(Date)
work at; �c�� ����(, ,/I� .•��_
G'L 'L1
(�e address)
Based upon that examination 1 have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on 553.844 F_5.)
S n tore an al License#
STATE OF FILORIb
COUNTY OF /n
Sworn and subs('Opd before me this day of 203
by LG/. � Who is personally k wn t me or who has produced
as identification.
Notary Public,State of Florida zor
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
DAVID VAWDERFUER
MY COMMISSION*Fpo sso
1=xPinr=s March 9,2010
(anT1�tng.n+se xbndallotarySarvlor.00m
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