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Planning & Development Services
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 # 2 of ° C1322 22
I, 06 MLMrl 00Pit censed 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 1 2 1 20 2 1 1 did personally inspect the roof deck nailing
(D te)
work at: J��C7� MWL R D'.
(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 strOnt).
sign atnd Seal
STATE OF FLORIDA
COUNTY OF '�)+LLUIArj
� � 3f2 _
License #
I
Swor to and subscri d before me this _ day of F _ 2021
by � WL (t Who is personally kn6kn to me or who has produced
as identification.
Notary Public, State of Florid,
Signature of Notary: / RER
tate of Florida
Commission Number: s GG 98547o
1 024
En