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Building&Code Reguladon Division
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m W, 2300 iflorginia Avenue e
Fort Pierce,FL 34982
772-"'- 772-4632-2172
Fax:772-462-6443 RECF7'
SEP 2 S 6-45
ROOF INSPECTIQN AFFIDAVIT
Re: Permit# C?
licensed as a(n)Contractors`/Engineer/Architect
(Please print name&circle licensetype) *FS468 Building Inspector
*General,RulMing,Residentialor Roofing Contractor or any individual certified under 4681.5.to make such an inspection.
On or about I did personally inspect the roof deck nailine
work at: -rewsew 44el,
(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 strigentl
Cc�S6- 7,3?
V.-Lature and Sea] License#
STATE OF FLORIDA
COUNTY OF
Swom to an rnbe, ore me this day of 5214--) 20 /-S
by _�L�W W. Who is personally known to me or who has produced
as Identification.
Air)
Notary Public,State of Florida...
Signature of Notarr. A
Commission Number. 4-- (Seal)
En Oi/iglwii
ROY FRAMPTON
MyCOMMISS1014#FF188186
ExplitEs,junafty 08,2019
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