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" `iE Building & Code Regulation Division
..
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Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2007-0172
Cameron Cooper , 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 468 F.S. to make such an inspection.
On or about 7-18-2020 , 1 did personally inspect the roof deck nailing
(Date)
work at: 8430 Hidden Pine Rd Fort Pierce, 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 m t strigent
Sin ure and Seal
STATE OF FLORIDA
COUNTYOF a, Lusa
CCC 1331267
License #
Sw rn to and subscrib rd before me this Z15—IM, day of�U20�
by V -1Q Who is personally known to m—tee or who has produced
as identification.
Notary Public, State o lorid�1 1 s, ,p�•., CYNTiIAM NUTT
Si nature of Notar Y {-1'' 11
SigMY COMMISSION # GG 177919
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Commission Number: Q ea�XPIRfS:JanuarY22,2022
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