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- _ - Building & Code Regulation Division
,J
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED,
ROOF INSPECTION AFFIDAVIT APR 2 5
ST. Lucie County, t ermituna 1
Re: Permit#
I, E ` ,�Av U .`4�' licensed as a(n)Contractor*/Engineer/Architect
(Please print name& ircle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
On or about .4- �O- *>_, I did personally inspect the roof deck nailing
(Date)
work at:' FA 9'sfr-e_ 9� n
� [- 4 'Q/QfCe- )c
(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
i t tri nt).
w 2C C C 1's- n C-)
Signature and Seal 0 License #
STATE OF FLO I A
COUNTYOF
Sworn to and subscribed before me this day of 20L
by Ent BNn U " Who is personally knowA to me or who has produced
- as identification.
Notary Pu f florid
Signature of Notary:
Commission Number: (Seal)
En
KAREN S. NIELSEN
_ Commission p FF 115637
My Commission Expires
;f� « June 12, 2018