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Building & Code Regulation Division
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Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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ROOF INSPECTION AFFIDAVIT
Re: Permit# SLL-aooq-os3-?
I, bm,elle Qye� . licensed as a(n Contra)*/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 9 -�i -r3nal i I did personally inspect the roof deck nailing
(Date)n (\�' n ��11 (�
workat: 72 )9 Y<lr I+IC- Aje I-<-;(t CI�f'-�
(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
STATE OF FLORIDA ,
COUNTY OF Sir .L C46
MCI 3a&7
License #
Sworn to andsubscribedbefore me this I day of cL4-ci .r 20)
by i� elm Lil� Who is personally known to me or who has produced
as identification.
Notary Public, State oic� /
Signature of Notary: M,r
Commission Number.' Wrc`10174 (Seal)
En FRANK LASASSO
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG907745
&ISExpires 9?WO23