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' Building& Code Regulation Div' ' -
2300 Virginia Avenue RECEI /ED
COUNTY� � Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 SEP ;127 27019
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Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit# ► ,®�— (1 -7
I, 30V V,_ ,, 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 tJ 6-1-0. 0 1 did personally inspect the roof deck nailing
(Date) l
work at0Ql
(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
wTw
st strigent).
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Signature and Seal License#
STATE OF FLO A
COUNTY OF Luc
Sworn to ands scribed before me this��day o 20 ,
by
Sworn j(AMO I Who is perso ly known td me or who has produced
as identific tion.
Notary PrubY State of Flo ' a
Signatur oR1
Commission Number: REN S. NIELSEN S I)
J1PpY Poe 1
State of Florida-Notary Public
En '=*�•_ Commission # GG 207484
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My Commission Expires
,lune 12, 2022