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Fort Piero:, FL 34M
M462-M or M4a-tin
Fox: M4624443
ROOF INSPECTION AFFIDAVIT
Re: Permit # oPk - boa\
1, kiqct"qq «+ as a(n) nt r'/Engineer/Architect
(Please print ame & circle license type) `FS468 Building Inspector
+General, Building, Reside
ntial or Roofing Contractor or any lodhddual ovt*d under din F.S. to make scKh an lnspe din
On or about ADh�I did personally inspect the roof deck nailing
(D
work at:
'1�of &Mtsrt�.l Ucs—
(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
C.0133145
License #
STATE OF FLORIDA t „✓
COUNTY OF J"c"
Swor to and subs r' e b for me this 3
by Who is ersonally known to r who has produced
as Went
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
F ANAI1 M. VIEYRA
' $i i ;• MY COMMISSION 0 00 907977
Ate; EXPIRES: August 27, 2023 a.
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