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Re: Permit # a
- 0330
Planning & Development Services
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
I, 0 "91RoP. , licensed as a(n Contractor* Engineer/Architect !�
(Please print name circle license type) *FS468 Building Inspector
*General, Building, Reside tial or Roofing Contractor or any individual certified under 468 F.S. to make such an in�
On or about ��% c1p , I did personally inspect the roof deck nailing
(Date I
work at: _ _ t 1 3 E c chl mono Dr. PSI- F.
(Job site address) 1 1 1
Based upon that ex, mination I have determined the installation was done according to thE current
edition of the Florida Existing Building Code Section 708 or the product approval subjmitte (whichever
is most strige ).
IC, 1 Sat LA
I I
ignature and Seal
STATE OF FLORIDA
COUNTY OF
Sworn to and subsi
by
Notary Public, Stat"
Signature of Notary:_
Commission Number:
En
License #
before me this day of 66-rclaiA- 20 ZQ
Who is personally known to me or who has produced
as identification.
(Seal)
n
FF�`�v,,Pu�� KEGA CRA FC
Myco ISSION GG2
i ° "`��' EXPIR : 0ctob 03,