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Roofing Inspection Affidvait
Planning& Development Services Building&Code Regulation Division 2300 Virginia Avenue i Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# t(oS rmu licensed as Contractor* Engineer/Architect (Please print name&circle license type) *FS468 Buil Ing Inspector *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. On or about (Z—�L� 'I �� , I did personally inspect the roof deck nailing (Date) work at: 2664© RCLV�i S V VC 600z! (Job site address) Based uponffor' Existin I have determined the installation was done according to the current edition of tBuilding Code Section 611 or the product approval submitted (whichever is most stri �3 IM 28.5 Signature and Seal License# STATE OF FLORIDA COUNTYOF Sworn to and subscribed before me this )��day of %m_ 201, by'-!�Zo !io At Who is personally known to me or who has produced as identification. Notary Public,Stat f Florida _ "meq HAHNA INGRAM Signature of Notar : "aBublic State of Florida Notary 2018 Commission Numbe . =�2�;f �c��:My Comm.Expires Dec 20, y Commission# FF 177249 En 01/19/2011 �•:'�of F�°o-� Bonded thsn rough National Notary As . �•uma• I.