HomeMy WebLinkAboutRoof Inspection Affidavit -:.•. .
Planning&Development Services .
• •° _ Building&Code Regulation Division
- 2300 Virginia Avenue
a r, Fort Pierce, FL 34982
772-462-2565 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit.# -1 -6
- 1, { l' licensed as a( )Contractor* ngineer/Architect
(Please print ame&circle license type) *FS4 mg Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under.468 F.S.to make sutli an Inspection.
On or about 1 did personally inspect the roof deck nailing
(Date)
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.)
Sten ture an eal License#
STATE OF FLORIDA
COUNTY OF r—
Sworn and subsc i ed before me this, day of /J 20 1
by' V Who is personally known to me or o has produced-
as identification.
Notary Public,State of FloridaF
Signature of Notary:
Commisslon Number: �' q (Seal)
En 01/19/2011
DAVID VANDEFIFLIIER
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