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��. � 'VF ' ' 1 -' 6r. u Building&Code Regulation Division
2300 Vi,COUNTYrginia Avenue RECEIVED
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 J U L 01 Z 019
Fax:772-462-6443
ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT
Re: Permit# ��J� b
N�-V3 i lalicensed as a(n)Contractor*/Engineer/Architect
(Please print name&brcle license type) *FS468 Building Inspector
*General,Building,Residential o/r Roofing Controctor or any individual certified under 468 F.S.to make such an inspection.
On or about �7/b//Loi , 1 did personally inspect the roof deck nailing
(Date) ^ /►
work at: 3-0lJ�
C� � r1�i C ( f� `�L tri
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editicin f the Florida Existing Building Code Section 708 or the product approval,submitted (whichever
is mot ri nt).
�C(., i_-31(-10
Signature and Seal License#
STATE OF F1.0
COUNTY OF
Sworn to and subscribed bef re me this day of 20_,
by l� Who is personally known to me or who has produced
as identification.-
Notary
dentification.
Notary Public,State of FI
Signature of Notary: n ( 4p ,o BRANDYMOORE
Commission Number: GCT IO2Q6 M Commission.4GG102839
W4 Exp:ros May 9.2071
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