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P.0011002 .
1011612017 15:52
_ „; ;� Planning&Development Services
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�>�::;<<: � 1 Building&Cade Regulation Division
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2300 Virginia Avenue
Fort Pierce, FL 34982
o r
W W 772-462-2165 or 772-462-2172
Fax. 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit## SLC 1710-0077
}, Juan Martinez , licensed as a(n)Contra ctor*/Engi neer/Arch itect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certijled under 469 F.5.to make such an inspection.
On or about 10/16/17 1 did personally inspect the roof deck nailing
(Date)
work at: 268 Nettles Blvd,, Jensen Beach
(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 1330788
Ignature and Sea License#
STATE OF FL111
COUNTYOFOLly
Sworn to and subscribed before me this 16th day of October 20�
by -ate l > _. Who is per�ll town to me or who has produced
as Identification.
Notary Public,State of lorida
Signature of Notary:
Commission Number: (Seal)
En
BONNIIE LOVITT
4' MY COMMISSION*GG14WS
SXPIRES September 17,2021
j
I
RECEIVED OCT 16 2017
I
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
I
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC 1710-0077
l Juan Martinez , 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 10/16/17 , 1 did personally inspect the roof deck nailing?
P Y
(Date)
work at: 268 Nettles Blvd., Jensen Beach
(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 1330788
Signature and Sea License#
STATE OF FI- IDA
COUNTY OF
Sworn to ands scribed before me this 16th day of October 20 17
by .J�,., ,1 iPrR1� Who is personal) ki�nown to me or who has produced
as identification.
Notary Public,State of loncla
Signature of Notary:
Commission Number: (Seal)
En ;;p4►"�'w ;; BONNIE LOVITT
MY COMMISSION#GG143436
• EXPIRES September 17,2021
I