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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
RECEIVED
ROOF INSPECTION AFFIDAVIT I NOV 2 9 2018
ST. Lucie Cry, permitt
Re: Permit # 1� k1 — O o21 1 SCANNkC
BY
II, AMA-t 5. FerAlAndlicensed as a(n)Contractor*/Engineer/Architect St Lude COunty
(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 I I ��?� I 1 `8 , I did personally inspect the roof deck nailing
(Date)
workat:-1303 -mArSN tee,'Roce, 5A►N-V �uae C�o"'v}� �-J- %UG
(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
inmost strigent).,, A
and Seal
cG cit a 3M) `►G &
License #
STATE OF FLORIDA
COUNTY OF
Swo to and s c abed before me his day of /6/�j�('Mt, �Y 20
by\W�o is personally known to me or who has produced
bA identification.
Notary Public, State of F
Signature of Notary:_
Commission Number: i
En
I
ANTONIO E. GOMp
W COMM146N #FF91.3115
EXPIRES: AU625,1019
Banded through 1010fe:I6surance
(Seal)