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" R Building & Code Regulation Division
COUNTY2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2012-0'Z2U
1, 00AW10n licensed as a(n)Contractor*/Enginee r/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 t 1'+1 22C'21 , I did personally inspect the roof deck nailing
(ate)
work at: 1Q1 G , &MLDO lda' 3 4q 4S .
(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 rigent).
/ SignatCrptW Seal
STATE OF FLORIDA
COUNTY OF
Ct C' 1,5D z 0
License #
Swor to and subscr' ed before me this _ day of
20 L
by �aa1�"21 Who is personally k Mnwwho has produced
A P�Dr as identification.
Notary Public, State of Flo �la
Signature of Notary: -i
Commission Number: e�ptarypub4cStaaofFloride
'*1� Pamela Jones
'jiMy Commrosron GG 985470
En � p Expires oell512024