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Planning&Development Services OV
Building&Code Regulation DiviSiO F NOV 2 12019
�T. Lu
2300 Virginia Avenue ST. Lucie County, Permitting
Fort Pierce,Fl.34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#-1510 3- 6Q 10
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I _Hcensedd as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS469 Building Inspector
Generat,Building,Residential or Roofing Contractor or any individual certified under 468 FS.to make such on inspection.
On or about I did personally inspect the roof deck nailing
4(D t Ae)
work at:
(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
is t'ost strigent).
Signature atSeal License#
STATE OF FLORIDA, Zt'l
COUNTY OF
Sw&�to and suoscribpdbefore me this /96� day of
--Z 20�17
by ,
Who is personally known to me or who has produced
as identification. VivienneAlFinletter
NOTARY PUBLIC
ar—
Notary Public,State of Florid1,., STATE OF FLORIDA
Signature of Notary".
Commission Number: (Seat) 01*Comm#GG133001
10 Expires 8/1112021