HomeMy WebLinkAboutInspection Docs Public Works Department
Code Compliance Division
— 2300 Virginia Avenue
• • Fort Pierce, FL 34982 .
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772-462-2172 Fax: 772-462-6443
~ INSPECTION AFFIDAVIT Ra EC E BVE®..
NOV 2 2 2016
0 PERMITTING
I 0 3 ,
Re: Permit# St. Lucie County,FL
- L •
licensed as a(n)Contractor*/Engineer/Architect
(Please p nt name&circle license pe) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about " ` I did personally inspect thi roof deck nailin and/or
(Date) ; circ a se at apply)
secondary water barrier work at:
(job site address)
1 Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
/gnature and Seal License#
STATE OF FLORIDA
COUNTY OF 54 ,Uke-1 e
Sworn to and subscribed before me this. day of 20_1(.,
by L o n-k- Who is personally known to me or who has produced
•-l-pL 5'35:32,6M azo as identification.
Notary Public,State of Floripla
Signature of Notary:
Commission Number: F f 3�7sr LyNNEh►EEKS
If
�� SANDiiA
Notary Public,State of Florida
En 09/17/09 _ commIssion#FF 137758
fly comm.expires June 30,2018