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_ Building & Code Regulation Division
2300 Virginia Avenue RECEIVED
COUNTY
e R1 DA --4Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 MAR 0 6 2018
Fax: 772-462-6443
ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT
Re: Permit# /go-;10
I, 90v 6ft!6)licensed as a(n)Contractor*/Enginee r/Architect
(Plea(e print name&circle license type) *FS468 Building Inspector
*General,Building,Residentialor Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 3 5-// � I did personally inspect the roof deck nailing
(Date)
work at: ���� AI5-3"'''
(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
isr(124st
rigent).
�L
ignature and Seal License#
STATE OF FLORV
COLINTYOF mac,}�
Sworn to and subscribed before me this day of kQCC v 20_d
by�?OV IrC6 4P&n Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
R
Notary Pubic State of Elonda
Brandon SmithMy Commiss=GG 137433
Expires 08/23/2021