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Roof Inspection Affidavit
i I i 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 ROOF INSPECTION AFFIDAVIT QCT 7 2019 Permitting DePartme" (��r1 St.Lucie Re: Permit# licensed as a(n)Contractor*/Engineer/Architect (PIe se print name&circle license type) *FS468 Building Inspector I *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. On or about /F/"' I did personally inspect the roof deck nailing (Date) work at: O C-s' e en w a off�) (Job site address) I Based upon that examination I have determined the installation was done according to the current i edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever is ZotSst "ent) i 2 _e3 Signature and Seal License# STATE OF FLORIDA5+L_Lko ,� COUNTY OF Sworn to and subscribed before me this _day of 0— 20 by U-0 LIJJ l�nS'1_ Who is personally known to me or who has produced as identification. Notary Public,State of Florid�G/n� Signature of Notary: X Commission Number: . `O1pNYP„9� ELLEN VAUGHN state of Florida-Notary public En 's 9, PP; Commission #GG 270079 MY Commission Expires ©stob®r 22, 2022 , II