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Planning & Development Services
77 • F ,
i �� �- 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# S,-C- 1 7l0 6�2q /
I, ` a�0�� licensed as a(n Contract r*/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 It It I did personally inspect the roof deck nailing
(Date
work at: o 0
(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).
N�f'u �A'.& L=3300(02-
Signature an4 Se I License#
r
STATE OF FLORIDA n����
COUNTY OF ' =
Swo n to ands bscribe before e t is 20 1
77
by Hall known o or who has produced
as iden i ica ion.
Notary Public,State of rida
Signature of Notary:
Commission Number: (Seal)
En
ANGELA M HUFF
Notary Public-State of Florida
Commission#FF 234730 M.
MY
Comm.Expires May 27.201 1
Bonded through National Notary Assn