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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 # S C— a 00 LA a LA
I, Doucq kO-k , licensed as a(n ontractor* 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 on inspection,
On or about 1'I �� , I did personally inspect the roof deck nailing
(Date)
work at: R II V
) r , �-+' P I' e 0
(Job site address)
�) �--L-
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).
)Q� (' C- C- LA
Signaturb4nd Seal License #
STATE OF FLORIDA
COUNTY OF 7 (,LC D
Sworn to and subscribed before me this � day of 20�
by e-�-�- �''/t Who is personally known to me or who has produced
as identification.
Notary Public, State on a
Signature of Notary:
Commission Number: o�Gj
REED
ORDEn 265055, 2022