HomeMy WebLinkAboutInspection Docs _ Planning& Development Services
Building&Code Regulation Division -(N"
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# / Q 0�7,7
I, a4w licensed asC(n)Contractor*/ gineer/Architect
(Please pri t name&circle license type) * pector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 91ollo I did personally inspect the roof deck nailing
(Date)
work at: 4t
(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.)
cc- cob 93
S n ture ancW eal License#
STATE OF FLO D ,
COUNTY OF
Swor .to and subscribed before me this day of 20/S ;
by Who is personally known fo me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 ?ot*" DAVID VANDERFLIER
MY COMMISSION#FF099550
EXPIRES March 9,2018
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