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HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning &Development Services SCANNED I BY Building & Code Regulation Divisio �2300 Virginia Avenue ���:UCI2�'����, � „c - r Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 FIINSPECTION AFFIDAVIT RECEIVED APR .16 MA DepaRe: Permit # �Qa ®3yfi Pe St. Llucie Cov . Alicensed as a(n)C Intractor*/Engineer/Architect (P ase print name & circle license type) I *FS468 Building Inspector *General, Building, Residential or Roofing Controctol or any individual certified under 468 F.S. to make such an inspection. On or about L4 101 (9 al �' , I did personally inspect the roof deck nailing (Date) I i work at: a ) U Ai 2 41-12S !' 3 I V a (Job site address) i 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). �. C_CC 1 3a 6 S 17 u Signature nd Seal License # STATE OF FLO IDA COUNTY OF ar grin Sworn to and subscribed before me this day of A i0f + 201I, by UnWiCU , J20 _ Who is personally known to me or who has produced as identification— _ Notary Public, State of Flo i Signature of Notary: Commission Number: TEMr*PjS at itF..BECCA RESTIFO En '� �.Yfa ,15' C�SMAf15Si41<±%GG91Sn?