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HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITS j _ P-lanning.& Development Services Bullding &Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT ,Vosv F�8 aeGacu eowu � SCANNED BY St Lucie C Re: Permit #Q SL—C l ! i — 3 S aunty �cz - licensed as a(n)Contractor*/Engineer/Architect (Please print name & circle licensetype) *FS466 Building Inspector "General, Building, Resldentfol orRoofrng Contmdoror any individual certified under468 FS. to make such on Inspection. On or about a cZY I did personally inspect the roof deck nailing (Date) work at 0 7 /:/LAJ C[xm-enyL� (Job site address) 990 Based upon that examination I have determined the installation was done according to the current edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is most sh igent). CCU' ©s—� 7 /Anafure and Seal License # 3 7 STATE OF FL.ORIDA COUNTYOPt,c- eL SSwam tsand syps b me tits Q 13 day of-20(/ who B personally known to me or who has pnaduced as identification. Notary Public State Ron Signature of Notary: �(➢srfi Commission Num 3LLy, 241z (Seal) En OIA9/20n 8ss�N. lUSTIN OAVIDCONE 1 Notary Puh11 -5lateof Florida Cotnmissione GG196519 MyCantn. E%Vr(s Mat 14,I0n Bonded Ituanh National Notuy)".