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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 # 2007-0178
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 I�D 12-02D I did personally inspect the roof deck nailing
(Date)
work at: 822 NE Camino St Port St. Lucie, 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 mos regent).
Signature and Seal
STATE OF FLORIDA
CM 331267
License #
COUNTY OF �� U-Le �e-i
Sworn to and subscribed before me this I day of L(-6'1I S�- 20
by 1 'kVYLL U Y1 i;•l V Who is personally, known to me or who has produced
f-D, as identification.
Notary Public, State of FloridQ)'-Jk4t'�I'(�'
Signature of Notary: `� (;�'Lt
NarY�St80s of F1cNrda
Commission Number: t,�--�C-� �'i�`.�Tq =1-C� � Pa s
` E ccmmm&cn GG 985470
En
ora Expires 06/15/2024
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