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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# 2004-0074
I, KYLE WHITE licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Foofing Contractor or any individual certified under468 F.S. to makesuch an inspection.
On or about 05/04/2020 1 did personally inspect the roof deck nailing
(Date)
work at: 123 QUEENS ROAD FORT PIERCE
(Job site address)
Based upon that exam
inatio I h ve determined the installation was done according to the current
edition of the Florida . ing B Iding Code Section 611 or the product approval submitted (whichever is
most strigent
CCC1325895
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to and subscribed before me this 4th day of MAY 2020
by KYLE WHITE Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida , nn
Signature of Notary: n/..C... �onM )`-
Commission Number: G� (Seal)
,o NADINEMANRESA
En 01/19/2011 Commission# GG 355203
��J) Expires NOyember M 2023
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