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Planning & Development Services - r Building&Code Regulation Division 2300 Virginia Avenue Ala, AW COUNTO D Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# 1, �Q[u ri('�. Dr-e— L[6- VV' O , licensed as a( Contractor*/Engineer/Architect (Please print name&circle license type) *FS468 Building Inspector *General,Building,.Residential or Roofing Con..tractor or any individunlcertified_under 4.68.F.S-to.make such.an.inspection.. On or about I did personally inspect the roof deck nailing (Date) work at: ,3 Y QCT -A ld-en v u 14- 3 fl Y - ' (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). uakuxcoo� (Q!Q0,Ao'- CCC-- k 33 ©(o2 3 Signature and Seal License# STATE OF FLORIDA ' COUNTY OF 34 A11-1,ZIP Swor to and subscribed before me this day o 201 by i 1-LAJV . Who is.pgrsonally known to me or who has produced as identification. Notary Public,State of FI ida ' g ry: o"'���"r;B., CONNIE MCIVER Signature of Nota :.�a�^ '• Notary Public-State of Florida Commission#EE 209535 Commission Number: air: :• My Comm.Expires Jul 29,2016 En 01/19/2011 Bonded Through National Notary Assn.