HomeMy WebLinkAboutRoof Inspection Affidavit 12/06/2016 19:19 Gary Nar2o, Inc. 7724858829 N0.362 #001
.......... „ , Planning&Development Services
....=. - ;'. Building&Code Regulation Division
2300 Virginia Avenue
, Fort Pierce, FL 34982
..............,,.....•._.,....,.,.._.,�..,.,.._•.,,w...",,., 777-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a(n)Contractor*/Engineer/Architect
(please print name&circle license type)` "FS468 Building Inspector
"General,Building,Residential mflnnfng i:nrimrivr or any individuci certifled under 468 F.S.to make such an inspection,
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On or about 1� — 6 — �o'(� , I did personally inspect the roof deck nailing
(Date) b
work at: S3 .jn��.�� ea - /- Z -
(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.)
CC- C05- i°20
S n ture an eal License#
STATE OF FLORID
COUNTY OF 3
Sworn to and subscf ii ed before me this�day of / �C�'�i[i"��- 20___,�
by G�4 �� VIA R- Who is personally known to me or who has produced
aL,.
i
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: _ (Seal)
En 01/19/2011 �..,..
DAV ID VANDEgFIlER
My COMMISSION#F12089530 '
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