HomeMy WebLinkAboutRoof Inspection Affidavit 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#
I, t�Gcr /� �G/��U , licensed as a( Contractor /Engineer/Architect
(Please print n me&circle license type) *F5468 Bui mg Inspector
*General,Building,Residential or Roo}ing Contractor or any individual certified under 468 FS.to make such an inspection.
on or about ��� /r� , i did personally inspect the roof deck nailing
(Date) J yam
work at: L-� ,� 9)4119 , .�/�� /!r 7 . 1
(job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
i
Mitigation Retrofit Manual(Based on 553,844 F.S.)
006
Sin ture an W eai License#
. I
STATE OF FLORI A
COUNTY OF :L%
Swor to and subscribed before me this day of
bywho is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/10J2021 DAVID VANDERFLIER
MY COMMISSION#FF090850
EXPIRES March 9,2018
tao�i a9s o�s3 FloridallotarvSawlce,cem
TOO# 98£'ON 8Z88S8VU L -ouI `O21SW Aa720 LO:LT 9TOZ/9T/ZT