HomeMy WebLinkAboutroof inspection affid I
S:_..:.�....:.:........::.....".`J.'....;_..:...=........,..,...�. ............"_"..."."y.!.- -
Planning& Development Services
. _. . Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
,;;,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,.,:,......., 772-462-2165 or 772-462-2172
M. Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, cnaw CU licensed as a( Contractor* $ineer/Architect
(Please print ame&circle license type) *FS46 nspector
'General,Building,Re.5ide)nt;a!or Roofing Contractor or any Individual certified under 458 F.5.to makesuch an inspection.
On or about //'l I did personally inspect the roof deck nailing
(Date)
work at:
(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.)
Sign tore an eal License#
STATE OF FLORIDA
COUNTY OF
Sworn and subscribed before me this day of
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary;
commission Number: (seal)
En 01/19/2011 *w�w
DAVID VANDERFLIER
My COMMISSION#FF000660
EXPIRES March®,2018
(40Y13sa 0161 FIeritlallota cvlo#,aom
TOO# L8Z'ON GZ8899VZLL .oul oza7zW Iaeg EE:OZ 9TOE/VT/TT