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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 # Z "0213
1, &oy 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 8 12-0 ��� , 1 did personally inspect the roof deck nailing
(Date)
work at: -11a�5- ChghJQ4,Ao Y1 W (j
(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 igent).
7
CC
Signat nd geal License #
STATE OF FLORIDA 11
COUNTY OF _� Lld C U#—,
Sworn to and subscriAcl before me this20 day of `l.ES'� 20 3 cq
by i'on 00QeZ Who is personally known to me or who has produced
to as identification.
Notary Public, State of Florida .pj% Notary Public State of Florida
Signature of Notary:Pamela Jones
Commission Number: C --1C 9 $5'410 VXIF Ea ion GG 985470
15!2024
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