HomeMy WebLinkAboutroof affidavit .._...._..._...._..............._....... Planning& Development Services
_
Building&Code Regulation Division
2300 Virginia Avenue
Fort pierce, FL 34982
- m° 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, 6� D licensed as (n)Contractor*)nglheer/Architect
(Please prin ame&circle license type) w nspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 x.S.to make such an inspection.
On or about / ?/(0 , I did personally inspect the roof deck nailing
(Date)) 6&h
work at: 6471)+d
(Job site address)
Based upon that examination 1 have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S.)
5 knjture an al License#
STATE OF FLORIDA
COUNTY OF
Swor to and sub Pbed before me this day of 2049
byf1 Who is personally known to me or who has produced
as(denl:ifickion.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
DAVID VANQERFLIER
MY COMMISSION#FF099550
EXPIRES March 9,201 a
(aa 3ea01 63 Florldallota servloe,coM
TOO# d8Z'ON 6Z8899tiZLd 'ouI `Oza-eW Aj-eo ti0:6T 9TOZ/60/TT