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Roof Affidavit
:_, Planning & Development Services Building & Code Regulation Division (32 t —IL��I 2300 Virginia Avenue Fort Pierce, FL 34982 462-2165 or 772-462-2172 --------- Fina 777--462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # 54—C c,) Q i ('© �e O 7 I, S- 1-�(w6e cf4r,%-s , licensed as a(n)Contractora/Engineer/Architect (Please print name & circle license type) °FS468 Building inspector "General, Building, Residential /orr Roofing�iControctor or any individual certified under 468 F.S. to make such an inspection. On or about--( A1 �! `� I did personally inspect the roof deck nailing (Date) work at: (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 611 or the product approval submitted (whichever is most strigent). S" nature and Seai License # / STATE OF FLORIDA L COUNTYOF�74/I Swo to s bscri ed before me this of V r ✓ r 20 by i Who's ersonall known to me or who has produced as entif�cation. Notary Public, State of FI Signature of Notary: . Commission Number. ¢5at2 (Seal) En 01/19/2011 1 +P°"� isaaso *�� �ires.Fayutry27.20: �j`,'aw 'P` �,y; M�YiAItIYYlf1MAM cw3wkasGGs. -