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MEMBuilding& Code Regulation Division
2300 Virginia Avenue
o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT NOV 01 2018
ST. Lucie County, Permitting
Re: Permit# X712— 0(a1 )
I, L licensed as a(n)Contractor*/Engineer/Architect
(Pleas rint 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 2,D I I did personally inspect the roof deck nailing;
(Date)�( I 1
work at: '`ill! tX'g'� 5 (.r�-1t�zercp �� �� Rg
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of t Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mos gent).
OD4745
i ature and Seal License#
*o * DEBORAH RAE COURTNEY
COmmisskm#GG 115298
STATE OF FLORIDA o1 oe Evhs JWW is,2ul
COUNTY OF 7I Lt,(�Ir, -4.
'r" 8aaeanru8ud90NoWySmba
Sworn to and subscribed before me this 4�I day of 04- 20J,
by RT4Lj o is personally known tom r who has produced
as identification.
Notary Public,S to of Flo i a
Signature of Not -P X0
Commission Numb r: (Seal)
En