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Roof Inspection Affidavit
Planning & Development Services STAUCIE Building& Code Regulation Division 2300 Virginia Avenue �COUNTY� Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 I RECEIVED ROOF INSPECTION AFFIDAVIT JAN 14 1021 Permitting Department St. Lucie Count/ Re: Permit# � �V � � �,G /� SrrvE� I,�siot�cw� , 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, �11-1\j / (` - . z 2�, I did personally inspect the roof deck nailing (Date) work at: L,fo 11 S (job site address) Based upon that examination I have determined the installation was done according to the current edition of th rida Existing Building Code Section 708 or the product approval submitted (whichever is mo agent). l'r�©�SS73 102 S-q ure an License# STATE OF FLOR 4D . COUNTY OF Sworn tp and subs jbed b fore me this da 6f , 20U, by /1 / Who is pers sally known to me or who has produced M as identificatio . 7 Notary Public,State of Florida Signatu Nota re# ry:' Commission Number: KAREN S- NEE ,V Public M1PPY PUB, Public En ;O c�;State of Florida-Notary Commission® # GG 207484 MY Commission Expires June 12, 2022 o. 'n ,%,