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Building&Code Regulation Division
2300 Virginia Avenue
a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
JED
ROOF INSPECTION AFFIDAVIT
SEP ! 2 2015
Re: Permit# 5t? D 4//
, licensed as a Contrac - /Engineer/Architect
(Please print name&circle license type) * S46 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 91.3/4015 , I did personally inspect the roof deck nailing
(Date)
work at: 461 I-A -BuOnl/4 V, 1-14 a)P- • �Sl
(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 611 or the product approval submitted (whichever is
most strige
c cc 05gg I)4
ignature and Seal License#
STATE OF FLO,R}��! / ,6
COUNTY OF l;i' - 'Y�
Sworn to and subs�.ribed before me thi day of 201
by �P Q h / (-'Q L) Who is personally kn�to me or who has prod
as identification. �i�a�P�Tc --
,, RHONDA ALTMAN
; �: Notary Public-State of Florida
My Comm.Expires Apr 14,2016
Notary Public,State of Florida = �.`�/ Commission #EE 177163Signature of Notary: FOF; Bonded Through National Notary Assn.
Commission Number: �7'"� PN q A if✓4R.(�eal)
En 01/19/2011