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- _ Building&Code Regulation Division
2300 Virginia Avenue
a - Fort Pierce, FL 34982
` 772-462-2165 or 772-462-2172
Fax: 772-462-6443EFEB
0
ROOF INSPECTION AFFIDAVIT mitting
` 23
Re: Permit# 2 �01— ! ,
I, �,OV �Oe licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about 2 / 2 I did personally inspect the roof deck nailing
(D tteAle) h
work at: 2 7 F BY�ke A a
(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 st0i ent).
6, c6132-4 5*7 f
Signature and Seal License#
ST4TE OF FLORIDA
COUNTYOF
� Z�
Swo to and subscribed before me this � day of 209-0.
by t,pt-s - f� .4gh n or who has produced
as Identification.
Notary Public,State of Flori
Signature of Notary:
Commission Number: (Seal)
En
KEGAN CRAWFORD
MY COMMISSION#GG265055
I; ,/ EXPIRES:October 03,2022