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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 # 2-- (n 2. —(70 0
I, CC�C�tWSUh licensed as a(n Contractor*/ ngineer/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 31 2— , 1 did personally inspect the roof deck nailing
(Date)
work at: e25 -i 14--pn 9.A Por �-S7 L1. _"t IZ 3 qaS-2—
(Job site address)
Based upon t at examination I have determined the installation was done according to the current
edition of tie Olorida Existing Building Code Section 708 or the product approval submitted (whichever
is most i trig
and Seal
STATE OF FLORIDA
COUNTY OF ,Sfi Luc -I?-
Ce-t✓!33/,3a4
License #
Sworn to and subscribed before me this 1 day of Mho 20Z/,
by a ad w, L—, Laws m Who is personally known to me or who has produced
as identl ication.
Notary Public, State of Florida
Signature of Notary: v✓/i.(�� �tC?1�'
Commission Number: Goo /,3gDd'7
En
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;,.•�;��P�6., MELIS7GONZALEZLEZ
Notary PuFloridaCommi9027My Comm.28, 2021
Bonded throtary Assn.