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ROOF - FIBERGLASS SHINGLE
Planning& Development Services Building&Code Reguition Division 2300 Virginia Avenue Fort.Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax:772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit*SL 1ag,,(kevI-le- `"r�icenUe as a(n)Contractor*/Engineer/Architect (Please print name&circle license type) *FS468 Building Inspector *General,Building,,Residential or Roofing Contractor or any individual certified under 468 to make such an inspection. On or about l- © - S .I did personally inspect the roof deck nailing (Date) work at- u 13 S& .nLa bic n (Job site address) Based upon that examination I have determined the installation was done according to the current edition of the Florida Existing By'l ing Code Section 708 or the product approval submitted (whichever is most strige 0 Signature and$eal License# STATE OF FL IDA ` COUNTY OF Swor o an subscrib Veforerp^ 206 moi( is ersonall kn n to me or who has produced 11111111111lNI//�� .as identification. % rr �G�pER R i Notary Public,State o F orida Signature of Notary ? *s Commission Number: 1 (Seal) MGt;o4e2t4 2, c fed En ' 001, �ll