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Planning & Development Services
Eli
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# 1711-0624
I� 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 /�� 11 ! / , I did personally inspect the roof deck nailing
(Date)
work at: 1713 PRIMROSE CT. PORT SAINT LUCIE, FL 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).
Pus, - � r
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Signature and Seal
STATE OF FLORIDA
COUNTY OF S \ - UN- -c—k1a
CCC-1330623
License #
SwRgln to and subscribed before me this // day of 2013
bylV.gtv.C1U�i C e��®.��who is erson II to me or who has produced
as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number:
En
(Seal).
��Zs_ P_Oo, PAUL•ETTE BLAIR-ALEXANDER
:' � Notary Public - State of Florida
Commission * FF 995699
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