HomeMy WebLinkAboutRoof Inspection Affidavit ..._............-..,,,,,,.,.
Planning& Development Services
-
Building&Code Regulation Division
2300 Virginia Avenue
ClUNTY Fort Pierce, FL 34982
772-462-2165 or 772-4622172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permittf 06?7V
I, licensed a n)Contractor* ngineer/Architect
(Please print n me&circle license type) `FS468 Buildi spector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.fo make such an inspection.
On or about /0 , I did personally inspect the roof deck nailing;
(Q e) r
work at: A'no�/GGi'
(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.)
Si`'A�- Kkiv cc- (10 6-51�1 0/13
n ture an8l,4eal License#
STATE OF FLORIDA
COUNTY OF N:Z f lA2
Swo to and subscrlbed before me this day of 20_��
by /' Who is personally known to We or who has produced
as identification.
s
Notary Public,State of Florida
signature of Notary:
Commission Number; (Seal)
En 01/19/2011 .•W„
r . DAVID VANDERFLIER
" MY COMMISSION#FF09WO
EXPIRES March 9,2010
..._. 2016
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