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Roof Affidavit
Planning & Development Services j 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 # 2-10 2 0 Z"jZ4 I, E8M-t EVA�-Slicensed 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 Z — ��� Z� , I did personally inspect the roof deck nailing (Date) work at: o ( 5 �Ck�1 I� (Z Lei t © (v (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). (/W� Signature and Seal STATE OF FLORIDA COUNTY OF t1,41'14i1) . Gcc 13 3 l 4 o Z License # Sworn to and subscribed before me this day of 20_!::_�J/ by HE� 044`5 Who is personally known tom r who has produced as identification. Notary Public, State o{fi4Qri Signature of Notary: Commission Number: a( (Seal) En GISELA BONET <r,; State of Florida -Notary Public _* *_ Commission # GG 146225 yr.;� My Commission Expires ��''O�f\�`° September 26, 2021