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7-> Building Mme Regulation Division
f �' r a r, ;; --- 2300 Virginia Avenue
I t) �? i; . t ►? _-'' = For`c Pierce-,FL 34982
!'. or 772-462-2172
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Re: Permit# 1 + f
I, �' i� '— , licensed as a(n)Contractor-/Engineer/Architect
(Please print name 2u circle license type) '-'FS468 Building inspector
General,Building,Residential or Roo ing Contractor or any individuoi certified under 468 F.S.to make such an inspection.
On or about . (I-Q- U'-'_,I did personally inspect the roof deck nailing
(Dat ) y / C 1
work at. f ) jo s o f t '-� '2. T �"��z c%i/ C
t
(lob site address) 3C}t q�
Based upon that e„amination I have determined the installation was done according to the current /
edition of,the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
most strigent).
-� - C. C ' -
1 1
:Sgnature and Seal license#
STATE OF FLORIDA
COUNTY OF e'l'fAr4-t ic_.
sworn to and subs 'bed before me this day of
by 1 r � Who is perso�all�r known to me or who has produced
as identification.
Notary Public,State of Fiarid
Signature of Notary:
Commission Numb". (Seal)
En 01/19/2011
COLT L DOBBS
•
State
Commiss on# GG 258366Public
MCommission2s
S
September