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Planning & Development Services
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 # SL.0 S.S ^ 0�3'K
I Cameron Cooper licensed as a(n)Contractor*JEngineer]Architect
(Please print name & circle license type) *ES468 Building Inspector
*General Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such on inspection.
On or about S''-2:? `24 , I did personally inspect the roof deck nailing;
(Date)
work at: 5509 Buchanan Dr Fort Pierce, FL
(Job site address)
Based upon that examination I have determined the installation was stone according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent).
CM 331267
Signature A Seal License #
STATE OF FLORIDA ]
COUNTY OF: . Ll.)
Sw r n to and subscribed before me this day of + �a
Who is personalty known tome or who has produced
L as identification.
Notary Public, State of F rida
Signature of Notary: 1 s71� x +� �; : y? CYNTMAM.NUir
Commission Number:
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rGOMMiSSM # GG 177M
EXPIRES: JwuwY 22, 2422
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