HomeMy WebLinkAboutroof inspection affid From:Richard Newland Fax:(866)61 M652 To:St Lucie Inspections Fax: +1 (772)4626443 Page 2 of 3 11/14!2016 2:57 PM
y Planning& Development Services
Building& Code Regulation Division
2380 Virginia Avenue
�r zr y`: Fort Pierce, FL 34982 K.
772-462-2 .65 or 772-462-2 .72
Fax:772-462-6443 �� b
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ROOF INSPECTION AFFIDAVIT
� 7 v
Re: Permit# U
r,
I, Cr , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&cir ie license type) *F5468 Building Inspector
"General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
t �;,,
On or about t _ � �-" , I did personally inspect the roof deck nailing
(Date)
wont at:_ t 6-t" kj
(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 OFLi
/
L)Sworn to and subscribed befoAre n e this day of f ll � 20
by who is #F n to a or who has produced
%i as Iden cation.
Notary Public,State of Florida n (�
Signntura of Notary: 1' 1`r'
Commission Number FS�-)00 (Seal)
En 01/14/2011
EOXODLed
M187Y808{LINMYCOMMISSION#EE883700Pi.QES:MAR 13,2017
itirough 1st State{nsuranee