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Home My WebLink AboutRoof Inspection Affidavitf -• 1 Planning & Development Services 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 # 1i 1® -" 0511 I, 1 ff: , n licensed as a(n)Contractor*/Engineer/Architect (Please p nt 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 l 1 JZ. k I did personally inspect the roof deck nailing (Date) work at:©CeQfr1�'�`s� . (Job site address) Based upon that examination'l have determined the installation was done according to the current edition of the Florida Existing Building Code Section 61.1 or the product approval submitted (whichever is most str' ). Ignature and Seal. License # STATE OF FLORIDAp{ . COUNTY OF vALiAc-A P Swor o and subscribed before me this day of Q 20 by Who is person known o me or who has produced �t as identifieation. _ NotaryPublii Signature of Commission En 01/19/201: (Seal), OEBORAH RAE COURT[!EY R cammis*n00011SM kej as June lk 2M eud�+wthrsn�ou