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Building& Code Regulation Division
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ROOF INSPECTION AFFIDAVIT
Re: Permit#1903-0020
I, Jamie Cisco licensed as a(n)Contractor*/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 3/14/19 1 did personally inspect the roof deck nailing
(Date)
work at: 10851 S Ocean Dr #15 Jensen Beach,FL
(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 611 or the product approval submitted (whichever is
most strigent).
CCC1327796
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this 14th day of March 20 19 ,
by Jamie Cisco Who is personally known to me or who has produced
as identification.
Notary Public,State of FI r' a
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011