HomeMy WebLinkAboutRoof Inspection Affidavit i
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Building& Code Regulation Division
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2300 Virginia Avenue
Fort Pierce, FL 34952
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Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# I DSS
cww ,CGc,r�c, _licensed as a ontractor /Engineer/Architect
(Please print n me&circle license type) *FC8 B ' ' Inspector
'General,Bullding Residential or Roaflog Contractor or any individual certified under 468 F.S.to make such an inspection.
I
On or about I did personally inspect the roof deck nailing
(hate)
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 Lure an al License#
i
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STATE OF FLORID REC WE+..°l
COUNTY OF s g
5wor to and subscribed before me this �Q day of l V 2U� NOV 2 `
by A71Who 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
. ` ` DAVID VANDERFLIER
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