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Building & Code Regulation Division
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COUNTY
Fort Pierce, FL 34982
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ROOF INSPECTION AFFIDAVIT
Re: Permit # 2101-0515
Mauricio orellana , 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 2/4/21 , 1 did personally inspect the roof deck nailing
(Date)
work at: 6820 Dickinson Terrace Port Saint Lucie FI 34952
(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).
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Signature and Seal
STATE OF FLORIDA
COUNTY OF st lucie
CCC-1330623
License #
Sworn to and subscribed before me this _ day of 20�n
by �V'�c3c\e �� Qe\*Q__who ispersonall known to me or wh has produced
as identification.
Notary Public, State of Florida
—
Signature of Notary:
Commission Number: 0 S N ( Vie: PAULME BLAIR•ALEXANDER
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Notary Public •State of Florida
a Commission # GG 987031
En PFp My Comm. Expires Sep 6, 2024
Bonded through National Notary Assn.