HomeMy WebLinkAboutInspection Docs ................_....,....................:._._.
Planning& Development Services
- 4 Building&Code Regulation Division
2300 Virginia Avenue
_ Fort Pierce,FL 34982
�........,:•.,, -- 772-462-2165 or 772-462-2172
Fax: 77'2-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as ai)Contractor*/ ngineer/Architect
(Please print ame&circle license type) `F nspector
"General,Building,Residential or Roofing contractor or any individual certified under 468 F.S.to moke such on inspection.
On or about f 40 1 did personally inspect the roof deck nailing
(Date)
work at: 1�� Ov"_Z2 AV r7
(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
SIi ture an eal License#
STATE OF FLORIDA
COUNTY OF , LUG(, f/
Sworr.4o and subscribed before me this day of _20!4�
bWho is personally known Lo e or who has produced
_ as Identification.
RECEIVED SEP 0'2. 2016
Notary Public,State of Florida
signature of Notary:
Commission Number., (Seal)
En 01/19/2011 i►pr"�e".
DAVID VANDERFLIER
MY COMMISSION#FF099550
, eF EXPIRES March 9,2015
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