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Building"A tode: Regulation Wivision,
2,300 Virginia Avenue
Fort Pierce, FL 34982
772461-2165or,772-462-2172
-3
Permit #
Re.
02 L
A).:Lj,J,, lig0fised as. a i O/Eng7
V1EC:o:)t:r::a:c:t:c7, ineer/Architect
License rc e,
c ense' tvpe�)-
(Please print narne& Ii I " *FS468 Buildir
*General' Building; Residential or Roofing contractor broij"yint iWduolcqrtifted under 468 F5, to
On or about, I'Mper
I sprijally.insPectthe.roof 6
(Date)
workat,
'{Job s1te4ddeLm44)
Based upon that.exaMination I ha've determined the installation was:dor
edition of Florida Existing Building Code Section 709 or the. product a
is most strigent).
:Signature and Seal
Licenset
STATE OF FLORIDA
COUNTY OF T
swo.r.nto,andsu'bsceibedbeforiE�mL.thi�- dayof'.Ak4f 20177,
, i -6a , I , I" . . - —
by 4J Who is pertoriall0muri to rhe or who has pr(
as Identification.
Notary PubiicState of Fl rida
SignatureoMotary: 67'4�'4 il'AA41.
Commission Number:
9a 1,50cq6 (Seal)
En
.On in$PeCV6J7;.
Aing:to the current.
I submitted (Whichever