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Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2272
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit» 2007-0712
1 Jeffrey Hampson , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or RooAng Contractor or any Individual certlJied under 469 F.S. to make such an inspection.
On or about 1' 110 I at-) a�:D, I did personally inspect the roof deck nailing
(Date)
work at: 4307 Thousand Pines Dr. Ft Pierce, Fla 34987
(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).
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Signature and Seal License a
STATE OF FLO IDA
COUNTY OF ��
Sworn to and subscribed before me this day of OJA 20a�
by J < F E 1-�a rn �S S'l , who is personally known to me or who has produced
as identification.
Notary Public, State of Florida '
Signature of Notary: C�Y"t`-�Q I✓�tJU�"c-.7� 1
Commission Number: (Seal)
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My Commission
September 16,