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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 # SLC 2012-0617
Luis Quinones , licensed as a(n)Contractor /Engineer/Architect
(Please print name & d *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 2/3/21
(Date)
work at:
I did personally inspect the roof deck nailing
3201 BENT PINE DR FORT PIERCE, FL 34951
(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 strigent).
��--� CM 331472
S'ig`nature'and Seal License #
STATE OF FLORIDA---
COUNTY OF C_
Sworn toAd sub ed before me this day of 24;)-
byr GGIS .�aX�L . Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
(Seal)
Lilian L. Perez
Comm.10922604
,Expires: October 14, 2023
�,„ Bonded Thru Aaron Notary