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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 # 2101-0314
I
JOSEPH KOLINOSKI , licensed as a( C)Contracto /Engineer/Architect
(Please print name & circle license typ *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor ar any individual certified under 468 F.S. to make such on inspection.
On or about 1/27/2021
(Date)
work at: 8008 Plantation Lakes Drive
I did personally inspect the roof deck nailing
(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).
r
Signatp e z
STATE OF FLORIDA
COUNTY OF MARTIN
CCC328994
License #
Sworn to and subscribed before me this 28th eY�JANUAR�_ 20 21
by JOSEPH KOLINOSKI . Who is ersonally known me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary: :a,:y:•. THOMAS W. STEVENS
Commission Number: '` 'i''' Commission (Sea
A F:;.� Expos October 9. 2023
En IlonJmnhm Loy Fein Aienlwrn A90.7AA-7A19