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Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2012-0037
JOSEPH KOLINOSKI 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 on inspection.
On or about 12/10/2020 1 did personally inspect the roof deck nailing
(Date)
worlQ at: 7991 Plantation Lakes Drive Port St. Lucie, FL 34986
(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).
CCC 1328994
Signatu aI eal License #
STATE OF FLORIDA
COUNTY OF MARTIN
Sworn to and subscribed before me this 10th day of DECEMBER 20 20
by JOSEPH KOLINOSKI Who is personally known to me or who has produced
PERSONALLY KNOWN as identification.
Notary Public, State of Florida
Signature of Notary: C
Commission Number:
En
eWMAS A STEVENS
Commission p GG 366991
Expires October 9, 2023
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