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Building& Code Regulation Division
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Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
�r— � 47
ROOF INSPECTION AFFIDAVIT
MAY 3 0 2017
PERMFTTING
St. Lucie County, FL
.J�..c
Re: Permit# f ""6 33-41-
1, �/,�/ licensed as a(n Contractor*/Enginee r/Architect
(Please print name&circle license type) *FS468-Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about .�e,�7-�/ 7 , I did personally inspect the roof deck nailing
(Date) fif
work at: G,' �-��� L to /3�Chi P/,,
(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).
13' 7�3 l
Signature and Seal License#
STATE OF FLO I I
COUNTY OF
Sworn to and subscs bed before me this day of fflm 20L,
by r(��c! �,�_. Who is personally known tome or who has produced
�. as identifica 'on.
Notary P bc, F o
:NotaSignature ofryri
—�
Commission Number: rf IJ 10�q (Seal)
T
En 01/19/2011
""'>> KAREN S. NIELSEN
Y PUJ'i
�r
^= Commission FF 115037
, ;#
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oe` My Commission Expires
June 12, 2018