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-11 j _ = Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC-2101-0206
Danielle Ryckman , licensed as a(n)Contractor*/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 1/19/2021 1 did personally inspect the roof deck nailing
(Date)
work at: 2400 Atlantic Beach Boulevard Fort Pierce, FL 34949
(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-raes rigent).
'Signature and Seal
STATE OF FLORIDA
COUNTY OF Saint Lucie
CCC 130918 & CGC 1520974
License #
Sworn to and subscribed before me this 19th day of January ZD 21
by Danielle Ryckman Who i er ona y non m we or who has produced
as identi (cation.
Notary Public, State of FI
Signature of Notary: !/'
Commission Number:
En
(Seal)
;';.•^�s ELIZABETH A SCILER
Notary Public - Stete of Floritle
J1eY_,� Commission p 184t 407
','.�,..•�s: My Comm. Expires12l22f2024