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Planning & Development Services r_` Building & Code Regulation Division ® UNT 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit#�� I, 1AlAusnaQ Off\\k3e- , licensed as a n Contractor*/Engineer/Architect (Please print name &circle license type) *FS468 Building Inspector *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. On or about V Zf I-Y 1 I S , 1 did personally inspect the roof deck nailing (Date) work at: 5A (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 strigent). L&�© (0 cmc 1 3 0 co 2 3 Signature and Seal License# STATE OF FLORIDA DEC 18 2015 COUNTY OF Swoul to and subscribed before me this day of C - 20 byf!VKFjC) //,M*ho is personal �wnme or who has produced as identification. Notary Public,State of Florida Signature of Notary: hA Commission Number: (Seal) En 01/19/2011 E AUDREYB.HUMPHREY = _ "AFyB 4MY COMMISSION N FF 174772 ` . #FF 17EXPIRES:March 6,2019 )p Ht S•March 6 2018' Bonded Thru Nota Public Underwriters """tary Public Notary ...•s,.sz Public .. m e,:-