HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
~ ,Building&Code Regulation Division
2300 Virginia Avenue
all
a Fort Pierce, FL 3498Z
.. �,r,,. r„. T ....._...... ... ...:P,,._......:_..... 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 16W -007Y
( 7-0 licensed as a( Con�Insoectcir
ngineer/Architect
(Please print nae,&circle license type) *5W u
*General,Building,Residential or Roofing Contractor or ony lndividuol eerrlfied under 458 F.S.to make such en Inspectlon.
On or about lAc?g I did personally inspect the roof deck nailing
(Date)
work at: �0�7 2L
(Jab 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.)
S:5119 L3
Sk tore an al License#
STATE OF FLORID,
COUNTYOF Z7-Zw1 e
Sworn t9jand subsc ibed before me this_u day of 11919ZI�0�01�?
by / �'r�u Who is persanallKlcnown to me or who has produced
as identification.
Notary Public,State of Florida
5ignature of Notary:
Commission Number: _ (Seal)
En 01/19/2011 �Y
DAVID VANDERFL.IER
`'• My COMMISSION#FF099580
EXPIRES March 9,22018
Iao7)�atio�sa FiotlOallota rvice.wm
TOO# LeV ON 8Z8898VZLL 'auI `O21sw Tc:9T 9TOZ/8Z/TT