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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 # 2009-0119
1,Vinroy Vassell , licert qd as a �)Contractor /Engineer/Architect
(Please print name & circle license ty IF5468 Building Inspector
*Genera; Building 4eVdvntiator Ro0,`m0 Conirarrcrcr any in?ividwI cerj1 Cd under 468 F.S. romake such an kapectio
On or about 9/1112020 . l did personally inspect the roof deck nailing
(Date)
work at: 4000 Avenue J Fort Pierce FL
(job site address)
Based upon that examination I have determined the installation was done according to th+
edition of the Florida Exist' a Building Code Section 708 or the product approval submitte,
is most
CCC#1332529
Sign ure and seal .� License #
STATE OF FLOW
sworn to and subscribed before me this Ly day of �e�ih�r 20�0
by to C- r.0011 Who 1 .,onally know o me or %vho has prcduced
as identi is
Notary Public, State of F7or' '� ���/'
Signature of Notary [/'hl � liifdEfayNJ;) S
Commission Number. (S k�V�d+1?hit881Di1a'&G182132
En { MRCS FEd .2022
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