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Building & Code Regulation, Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2O0 ( -030q
I, ►vle� l�h AP iOS, licensed as a( Contractor* 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 01.20.2020 , I did personally inspect the roof deck nailing
(Date)
work at: _jQ1 Seagm pe piers Q_ FL _'3gge2
(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).
Hi CCC4-031(D10
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF �fi. LUGS
Sworn to and subscribed before me this Zn` day of ( �Q a_hM 20_Q
by MW W)[N S. S 0,"VM . Who is personally known to me or who has produced
i-
d��v erg( ���2X14R as identification.
Notary Public, State of Florid
Signature of Notary:
Commission Number: (Seal)
En
Ruth Eunice Cardero
NOTARY PUBLIC
a -STATE OF FLORIDA
i Coma# GG930957
' 'E 1 a0 Expires 111 /1212023