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�. i Building&Code Regulation Division
2300 Virginia Avenue
s Fort Pierce, FL 34982
-- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC 1701 0110
I, jjhoel ' LION , licensed as a o tractor* ngineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential o oofing Contractor r any individual certified under 468 F.S.to make such an inspection.
On or about 62-t)-/Z , I did personally inspect the roof deck nailing
(Date) __/I�,I
work at: 7�� S� IIl(& 'age"
(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 611 or the product approval submitted (whichever is
most stri ent).
ccc u�08V
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ,S LuGI�,
Swor�t•to nd�ubscn a before me this O day of V�DF�AUfH 20]�,
by �����,1 lye IA� Who'is personally known to me or who has produced
as identification.
Notary Public,State of Flo
Signature of Notary:
Commission Number: 03gug (Seal)
En 01/19/2011 •�;�9P"'•. MATTHEW JOHN SAFFIOTI
MY COMMISSION#GG 039979
EXPIRES:October22,2020
•"fjr,,O�oQ Bonded Thru Notary Public Und,,,Iters