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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#2010 0302
1, L-i oUd C ons(V%r t- , licensed as a(n ontractor 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 1 o 12 % 12 020 , 1 did personally inspect the roof deck nailing
(Date)
work at: 1522 N LISth Stt4:+:Pierc.e,F=L &HC)
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of tj* Florida Exi ng Building Code Section 708 or the product approval submitted (whichever
is mdst stkent),/ / A
C L L 132 -7225
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF St. Luc -.I e
Sworn to and subscribed before me this 2Wh day of 202
by L.\ p Yd COr15fiam-t Who is personally known to me or who has produced
as identification.
Notary Public, State of FI a
Signature of Notary:
Commission Number: (Seal)
En
��dµr�� ASHLEY DEAN
�* r,-;Notary Public -State of Florida
'• Commission N GG 978378
%+ c My Commission Expires
/��� nii��`� April 14, 2024