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ROOF INSPECTION AFFIDAVIT
is 4- Planning & Development Services Building & Code Regulation Division Fort Pierce, FL 34982 772-462-2165 or772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT - - -- - - - - SCANNED c 2 st L"°8 Cou) tt Re: Permit # cl [ �y/ ✓ I, (A41t jl( rRcensed 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 °t 5 1 10 1 did personally inspect the roof deck nailing (Date) work at: l 0! Q_ ly& c (�- f /L (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). (` —7 o2 � © Signature and Seal License # STATE OF FLORIDA -� COUNTY OF Sworn tg ano subscribed fore me this�� � day of 20' ' by �� I CJW� o is personal) nown t me or who has produced as identification. Notary Public, State of Flor' Signature of Notary: dz�p� Commission Number: V (Seal) En