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HomeMy WebLinkAboutDom Lane AffidavitPlanning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # 19 © I _ () —53 1, 1 • a L I� iced ed 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 10q I 1 !_, I did personally inspect the roof deck nailing (Date) work at: (Job site add y 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 is most strigent). .;% Signature and Seal STATE OF FLO COUNTY OF,---H License # r j�} jP� Sbw to and subscribed b fore a Phis day of l / 20 lot y (, cl _ personally [mown to me or who has produced as identification. Notary Public, State o - brida Signature of Notary:( do", Commission Number: (Seal) En 00 Notary Public State of Florida �F Amanda P Sanderson My commission GG 211256 Expires 04/2512022