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Planning& Development Services
r. ( C,_ Y.• Building&Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
LDR l D A
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT kt. fr9)
at
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al �- 000311-1t)5'
Re: Permit# D
Sreveic) (O O
I, CA.5•r-hca6cA,A,y , licensed as a(n*Eontractor)/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 C— 11- l g , I did personally inspect the roof deck nailing
(Date)
work at: 2 ,ct 'Re tA C1.-lt DCL. 1r P)eie .F-c_• 514S't
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F • •a ing Building Code Section 708 or the product approval submitted (whichever
is most stri
.44116_ C:-Ce-05-5-53 /WM,
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF S+ p
Sworn to and ubscribed before me this C� day of i> 20 is-
by AtAva_ C+3 t) t{4 x. Who is personao
lly knwn to me or who has produced
as identif ci ation. a'WA* 02 1) A'a�E.
Notary Public,State of Flo i '
Signature of Notary: e972,.0044--
Commission
Number: O-ilO zo/ / (Seal)
En d h 5.-6A VI/ ro cr4
""""; ,; MEUSSAW.MURDOCK
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•�'' • - MY COMMISSION#GG 020141
•'3 EXPIRES:September 3,2020
=' M s' Publ c Unalova tern
•�',oejrF;N°,r` Bonded Thru Notary
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