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2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2004-0457
STEPHEN DALE BISCHOFF II 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 under 468FS, to make such an inspection.
On or about (a I Pj I Z o I did personally inspect the roof deck nailing
(Date)
work at: 6502 FLORA WAY, FORT PIERCE, FL 34951
(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 Wstr'ant).
Signature and Seal
STATE OF FLORIDA
COUNTYOF FL
CCC1330283
License #
Sworn to and subscribed before me this 9TH day of JUNE ZD 20
by STEPHEN DALE BISCHOFF II , Who is personally known to me or who has produced
KNOWN as identification.
Notary Public, State of Florida
Signature of Notary: ,/ L.Y2R-J—lJ
Commission Number: (3952289 (Seal)
En
Notary Puolc State of Florida
Steri Davis
My Commission GG 952289
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