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Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT
JAN 16 2018
ST. Lucie County, Permitting
Re: Permit#�- �
I,M,(64c,k ftIA- , licensed 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 F.S.to make such an inspection.
On or about (/,a// D , I did personally inspect the roof deck nailing
(Date)
work at: 5)'07 A1112#6 /2
(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 708 or the product approval submitted (whichever
is most strige D
Signature and Seal License#
STATE OF FLO I A
COUNTY OF
Sworn to and subscribed before me this ( LD day of 20A
by t e jjC6 l e2U�- )i Y. . Who is personally known to me or who has produced
as identification.
Notary Public,S of F ori
Signature of AA
Commission Number: (Seal)
En KAREN S. NIELSEN
d`�Rr r4•��'
°; •' Commission # FF 115637
,.. My Commission Expires
June 12, 2018
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