HomeMy WebLinkAbout1609-0314 From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: +1(772)4626443 Page 2 of 3 09/2212016 3:26 PM
Planning Development Services
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# _ l �
< j , licensed as a(n)Contractor*/Engineer/Architect
(Plea a print name&cI de license type) *F54£8 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or•about -� � 1 did personally inspect the roof deck nailing
(Date)
work at: ".�'hr�'h
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigatinn Retrofit Manual (Based on 553.844 F.S.)Signature and Seal License#
STATE OF FLORIDA
COUNTY DFk tr .c t Ir
Sworn to and subscribed before-
e tiltss-
by �C cam plc � ctoadn ttti me orwho has produced
as identification.
Notary Public,State of Florida
Signature of Notary.-In ( L) ku
Commission Number: 7 (Seal)
En 01/19/2011
o wTti� MISTY BOBILIN !
j MYOt1MMISSIONOEEB83700
EXPIRES:MAR 13 2017
c`r`y Bonded through lstStare Insurance