HomeMy WebLinkAboutroof inspection affidavit From:Richard Newland Fax:(866)610-6652 To:St Lucie Inspections Fax: +1(772)4626443 Page 2 of 3 0912212016 3:26 PM
Planning&Development Services
Building& Code Regulation Division
r 2300 Virginia Avenue
t 4 _ Fort Pierce,FL 34982
772-462-2165 or 772-452-2 .72
Fax: 772-462-6443
ROOF INSPECTION AmDAVIT
Re: Permit#
licensed as a(n)Contractor*/Engineer/Architect
(Plea a print name&cl de license type) *FS468 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certiTled under 468 F.S.to make such an inspection,
On or,about '" , I did personally inspect the roof deck nailing
(Date)
work at: 6'?-o '
(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.)
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed beforea this fav-n£T _ ', �, 20
by -G _ «-/, tao�drrTc�meorwhohas produced
as identification.
Notary Public,State of Florida
Signature of Notary:":1--Y) �,{
Commission Number. 7CC> (Seal)
En 01/19/2011 ---
uISTY BpBILIN .
c� My COMMISSION#EE88270o
EXPIRES:MAR 13,2617
"" Bonded through 1St State Insurance