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BuiEdin &FCdd
E g e_ Regulation Division
2300`Virgiriia Avenue
�O , _ 1
Fort,,Fierce, F1..1 1
712=462=2165-'or 772-462-2172
Fax:712=462=6443-
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ROOF INSPECTION AFFIDAVIT E
Re: Permit# 9.911=b3ds
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1, David Hambley ,license -as a(ri Cont or*/Engineer/Architect I
(Please print name&circ i Ilcense type) *FS468 Building Inspector
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*General,Building Residential or Roofing contractor or any individual certified under458 F.S.to.make such an.insFection. r
On or about 1 1�°1-- 41 did personally inspect the roof deck nailing
(pate)
,q
I
work at: 6707 Woodsmere-'Way,Fort Pierce '
(job site address)
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Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708_orthe product approval submitted(whichever
is-most strigent).
i.
_ CCC1331278
Signature a_nd,Sel I License.'#
i
STATE OF FLORIDA .
COUNTY OF
Sworn rn to and=subscril ed bef6te'me this day of`
by . W ho is personaII known to me or who has produced
_ as identification.
i
a
Notary Public,State of F 'da
Signature-of.Notary: 11
Corrtmission Number: (Sea!}
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SMITH
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MY COMMISSio »FF 9fi3994
EXPIRES:Mach
Public Underw6tets
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