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Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2011-0636
I Michael Miller , 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 1/18/2021 , 1 did personally inspect the roof deck nailing
(Date)
work at: 616 Beach Ave, Port St Lucie, FL 34952
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flor' Existing Building Code Section 708 or the product approval submitted (whichever
is most st en .
CC C057399
Signature an License #
STATE OF FLORIDA
COUNTY OF 45 CI'R—
Sworn to and subscribed before me this 1 � day of )Gn "V-',-A 20��
by �j , t`�nf� p I-i��.�.� .who is na y nown to me orxv o has produced
as identification.
Notary Public, State of F on a�4 T �otAR��ss Felicia Lyne Witkin
Signature of Notary: �� ° NOTARY PUBLIC
Commission Number: G - (Se �z ?-STATE OF FLORIDA
��N�E 1 �® Expires 9/4/202,
En