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lanning development Services
_ E uilding Code Regulation Division
300 Virg nia Avenue
ort Plerc , FIL 343$2
72-462-2 165 or 772462-2172
Fax: 772-462-6443
RECEIVE®
F INSPECTIO SEP 2 8 2015
Re: Permit#5�–C is
I, OaLwuLcznIicens d as a(n)Contractor*/Engineer/Architect
(Please print name&circle f ce se type) *FS468 Building Inspector
`General,Building,Residential orCLF 1 g—con-rrc M7or-con-r any Individual to !fled under 468 F.S.to make Such on Inspection.
On or about 0q Z l l did personally inspect the roof deck npiliniz
(Date)
work
(Job site ogress)
Based upon that examination I have determir ed the installation was done according to the current
edition of the Florida Existing Building Code 5 ctlon 6U or the product approval submitted (whichever is
most strigent).
4-Lt� C4 a,. � Z
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20E,
by JDaUe1r.J0 Qdjld AA . Who is persona ly know me or who has produced
o as Ide tification.
Notary Public,State of Florida
Signature of Notar : �`;�Y�u�� JENNIF'ERMANOg
Commission Number: (Seal) or MYCOMMI99130011440
EXPIR96c Jfanuuy 98,1910
En 01/19/2011 ��a� BmN4TIr►►61tlYlMf+faP/ uki6
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