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- Building & Code Regulation Division
2300 Virginia Avenge
Fort Pierce, FL 34952
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 05 !�
f
l Rosalba Nunez licensed as a(n)Contractor*/Engineer/Architect
'
(Please print name &circle license type) *FS468 Building inspector
*15enerol, Building, Residential or Roofing Controctor or any individual certified under 469 F.S to make such on inspection.
On or about 3 ! l did personally inspect the roof deck nailing
([Pate)
work at: 6304 Lee Blvd, Fort Pierce Fl. 34951
(lob site address)
Based upon that examination f 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):.
Se
CM 327621
License #
STATE OF FLORIDA
COUNTY OF St_ Lucie
sworn to and subscribed before me this da of 2CJ,
by Rosalba Nunez 1Za is ersonally known to or who has produced
as identification.
Notary Public, State of Pofi4a - _�
Signature of !Votary:tl
Comrnission number: GG256389 (Seal)
En
4+l1YPtf�! CARMEN REST1TUYO
tP� GP �i
State of Florida -Notary Pv61iC
•: commission # GC, 256389
W, My Commission Expires
„„+v September 015, 2022