HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866)610-8652 Tom,St Lucie Inspections Fax: +1 (772)4626443 Pace-2 of 2 11/16/2016 2:56 PM
Planning&Development Seas
Building&Code Regulation Division
`�. 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1, :�v licensed as a(n)Contractor*/Engineer/Architect
(Pleas print name k circle license type) *FS468 Building Inspector
*general,Building,Residential or Roofing Contractor or any individual certified under-468 F.S.to matte such aninspection.
On or about lJ — � i did personally inspect the roof deck nailing
(Date)
p
work at: ! L 7 Ks _� .__._.—
(Job site address)
Based upon that examination I have determined the installation was done accordingto the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S.)
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before mh,s 7 day of J z0
by; Z_. V_ y known to me or who has produced
/fir as identification:,-._
Notary Public,State of Florida
Signature of Notary: 1'�. _�A
Commission Number:_ �� 7GC� _ (Seal)
En 01/19/2011
ctrl*r�y MIS?Y8081um 1
" MY C€3iV-MISSION#EE883700
EXPliES:}LIAR 13,2017
WBondedihrough 15tSffileinsurance