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- _ = 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-2101-0344
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 on inspection.
On or about January 25th, 2021 1 did personally inspect the roof deck nailing
(Date)
work at: 6907 Citrus Park Boulevard 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).
CCC 1330918
Signature and Seal License #
STATE OF FLORIDA
COUNTYOF Saint Lucie
Sworn to and subscribed before me this 25th day of January 20 21
by Danielle Ryckman . Who i ersonally know tome orwho has produced
as identification.
Notary Public, State of II da. /-
Signature of Notary: (il�C/a��C.L�LJ t�ljA2
Commission Number: %�'�' 3 (Seal)
En
ELIZABETH A. SCILER
* Nouvy Public, Smte Of Flodda
Commission No. HH74732
~"�My Commission Expire: I n212024