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JJ
Building&Code Regulation Division
ogow--..,
2300 Virginia Avenue'R
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:.772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT FEB 10 2020
ST. Lucie County, Permitting
Re: Permit# 4001 ® g`7
licensed as a(n)Contracto /Engineer/Architect
(Please print name&circle license type) *F ul ding Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about 4 — 10"- c: , I did personally inspect the roof deck nailing
(Date)
work at: i a$6]I "DC, (A n,+T) iqzftseq &C'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 611 or the product approval submitted (whichever is
most strigent).
C1
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed Oefore me this ICO) day of. Feb20J-,P20
by �C(�8-t' Sit I Z fit`' Who is4aersonal known to me r 0-6o has produced
as identification.
Notary Public,State of Florida ,
Signature of Notary: 61";a& a
Commission Number: fv —O 1 (Seal)
En 01/19/2011
OR
Notary Pubft Stab of Florida
Pamela A Pusateri
e My commission GG 110678
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