HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866).610-8652 To:St Lucie Inspections Fax: +1 (772)4626443 Page 2 of 2 11/22/2016 10:30 PM
Planning&Development Services
" ° _} }•_. 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 16,
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential orRoofng Contractor orany individual certified under 46BFS.to make such an inspection.
On or about- f (�)-- 11v I did personally inspect the root deck nailing
(Date)
work at:
• (Jo ite 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.)
a
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 5%64-t
Sworn to and subscribed before me this r day of �ly;bv�� ,'r 2-01,
bY94 ane--r 4' to me or who has produced
as cdentJficatlon.
Notary Public,State of Florida
Signature of Notary:m`
Commission Number: (Seal)
En 01/19/2011
p�rxru� ibflSY$(fBJUPJ � '
i'f�n MY MISSION
EXPIRES:MAR 13.2017
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