HomeMy WebLinkAboutroof inspection affidavit Planning& Development Services
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Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax- 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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licensed as a Contractor /Engineer/Architect
(Please print Karne&circle license type) 468 Contractor
'PInspector
*General,Building,Residentfol or Roofing Contractor or any Individual certified under 468 F.S.to make such on Inspection.
On or about 511�//4° I did personally inspect the roof deck nailing
(Date)
work at: 92� 1916?
(Job siLe 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.)
�c-- CC) 97 90--
Sin an&.. eal License
STATE OF FLORIDA
COUNTY CP Z7— Zdit�'-A9,
Sworn and subscribed before me this (F--dayof 20
--i6 me or who has produced
by Who i s Earas oanaa�l I y�n
krkr
as Identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/Zoll
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MY COMMISSION#PFC99560
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EXPIFtES March 9,201$
(407)393-0162 FIc ridalloiaryservIce.com
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