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_ = Building & Code Regulation Division
2300 Virginia Avenue
COUNTY
a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# j`?6l3'-0J&V
I, Jamie Cisco licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or on y individual certified under 468 F.S. to make such an inspection.
On or about 3- -�C3 ` i 1� T_, I did personally inspect the roof deck nailing
(Date)
work at: 939 Nettle Blvd
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF Martin
CCC1327796
License #
Sworn to and suhscribed before me this '-: ` day oft 212rz' h 20r /
by Jamie Cisco Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary: i
Commission Number: J (Seal)
En 01/19/2011 =��-;pC,,.
ublic State of Florida
Kluegefission FF 230179 (if28/2D19