HomeMy WebLinkAboutroof inspect affid Planning& Development Services
ii •._...:.........::.:......... ................_...:... .:. .:::... Building&Code Regulation Division
_ . _
areld I�1. T 2300 Virginia Avenue
Fort Pierce, FL 34982
— 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# �larQ! `Qb
1, &-Mel dl�zo. , licensed as rt)Contratrtor" ngineer/Architect
(Please pri name&circle license type) "FS46 g Inspector
*General,Oullding,Residential orRoofing Contractor or any individual certified under 468 F.S.to make such an Inspection.
On or about A)
h2 > ' , 1 did personally inspect the roof deck nailing
(Date)
work at 1,561
(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.)
Sr n ture and• eal license#
STATE OF FLORIDA ,
COUNTY OF
Swor to and subscribed before me this day Of.
—
by /— Who is personally known to me orwho has produced
• as identification. �`
Notary Public,SLaLe or Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
1 . DAVID VANDERFLIER
( )*{ MYCOMMiSSION#FK0219MO
EXPIRES March 9,2010
(w 3es-0a 53 FforldsNota Ssnrfce,cam
TOO# ZU'ON 8Z8899VZLL •ouI `Oza-eW Aar0 LT:BT 9TOZ/LZ/0T