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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 RECEIVED
JUL 1 1 2019
ROOF INSPECTION AFFIDAVIT
ST. Lucie County, Permitting
Re: Permit#_�C(y�' 61-I3
I, �� L- 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 ) _ I , I did personally inspect the roof deck nailing
(Date)
work at: �� !�✓\ � 1Ar�c__ �r� q1'Q✓e e, �f
(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
i mos a t).
)�
CJS 1331t�c�
Signature and Se License#
STATE OF FL0 I A
COUNTY OF_\
%rntoand sub N.bed before me this� day of 201
Who is personally known to m or who has produced
as identificUn
Notary P eofFo ' Q
Signature of Notary: �U�--
Commission Number: (Seal)
En ;4Pp PSB, KAREN S. NIELSEN
;=o ��-State of Florida-Notary Public
Commission # GG 207484
+�Eo;i`oa My Commission Expires
June 12, 2022
1.