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Planning& Development Services :, MR-Tv &Code Regulation Division.iW 2300 Virginia Avenue ICOUNTY Fort Pierce, FL 34382 772-462-2165 or 772-462-2172 RECEIVED Fax: 772-462-6443 i -C' 302019 ROOF INSPECTION AFFIDAVIT ST. Lade County,Permitting Re: Permit# SLe- -f q10.©53.3 (," 1�C/ili,_ licensed as a( Contracto /Engineer/Architect (Please print name&circle license type) *FS468 Building Inspector *General,Building,Residential,or Roofing Contractor or any individual certified under 468 F.S. to make such an Inspection. On or about 19-o?S -11 , 1 did personally inspect the roof deck nailing (Date) work at: 6'410 ',neee G'- e oe . R Pi eree icL 3q402 (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 most strigent). Signature and Seal License# STATE OF FLORIDA COUNTY OF Mim '&aGG•- Sworn-to and subscribed before me this day of- De"m Ger. 20�& by Wd fiairvi•13_ F.,dwaie—vis Who is,personally known to me or who has produced as identification. Notary Public,State of Flor'da Signature of Notary: Commission Number: LS'� ©39'33 (Seal) �ioxP teryPubliCSteb�ofFlorida ,p harles Kevin Pittman En + CesoV 9rl�on g 303933 ww