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Roof Inspection Affidavit
Planning& Development Services Building&Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# o— O I . �d! .✓4-icensed asn)Contractor*% , gineer/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 l 2p did personally inspect the roof deck nailing (Date) work at: Z (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 strigent). off,�( / © -' Signature and Seal License# STATE OF FLORIDA COUNTY OF 3A Swo to and subscribed efore me this day of 20f by r,I�dDip,1 AFII PU,ib/ho is personae own to a or who has produced as identification. Notary Public,State of Florida Signature of Notary: Commission Number: (Se I En