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Home My WebLink AboutInspection Docs Planning&Development Services Building&Code Regulation DivIslon 2300 Virginia Avenue Fort Pierce,FL 34982 772-462-2165 or 772-462-2172 Fax:772-462-6443 ROOF-IIAEALTION AFFIDAVIT Re, Permit# 03'©ay I• licensed as a( ons tract Engineer/Architect (Please print name&circle I-Anse type) 6FS4 uliding inspector I� *General,Building,Residendoi or Roofing Contractor or any indlviduoi cert od under 468 F.S.to make''such an inspection. On or about L/� . I did personally inspect the roof daek Lifinit (Date) work at: s-/ ai (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 strlgent). 5ignatur eal License# STATE OF FLORIDA COUNTY Of Sworn 19 and subscribedbefore m this t 20JZ by �. ✓�~ °"t s p rsonally kno o me or who has produced as td n. Notary Public,State of Florida Sknature of Notary: Commission Number: i /j! En 01/i9/2011 �4�93 �10 ; '1. APR 04 7016 '''i;Pal, RECEIVED 10 39Vd 80E86titZLL 90:6Z 910Z/E0/170