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PHONE: (772) 231-5959
FAX: (866) 711-0251
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We If Make YOU Smile! 4560 US Hwy 1 Vero Beach,FL 32967
dba PANDA ROOF
FAX
To: J�- WC d' �� ��� From: Sharon@pandacontractors.com
Attn: Re: Pt9'M .V I1 app 7 -b> b3
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Phone: -� a �I�S bate:
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Planning & Development Services
_ _ = Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34992
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1, Cf rd ZC�CYI% 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 ��/���o�o fts , I did personally inspect the roof deck nailing
(Date)work at: 6 6.tv a 4f m - di'i S�tol
(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).
Signature and Seal License#
STATE OF FLORIDA
COUNTYOF Ih. 2nt't'�
Sworn to and subscribed before me this I —da of /'t45�t5f" 20
by ,Srrj: iec5yr-� Who is rsonally know to me or who has produced
as identification.
Notary Public,State of Florida Jill K.Samberg
Signature of Notary:� - . 't,SP0.Y o NOTARY PUBLIC
Commission Nume/ / ) STATE OF FLORIDA
Comm#G0254409
En CE 1 Expires 8/3012022