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_ Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # Z66!�)"0650
I, 10u ►`ce, , licensed as a( Contractor /Engineer/Architect
(PIprint name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about C / / I- / 2(;7 , I did personally inspect the roof deck nailing
(Date)
work at: ` -y0 l� 0Ca 1 k L j'0o P'eV-CP—FL
(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 most strigent).
XK� L1
nature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of "ll�/�`� 20 00
by `�CiG�f� �. Who is personally known to me or who has produced
as identification.
Notary Public, State of Flo ' a
Signature of Notary:
Commission Number: 2 (Seal)
En
KEGAN CRAWFORD
My COMMISSION k GG265055
,°°'O EXPIRES: October 03, 2022