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S: r r- ET Building& Code Regulation Division
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ROOF INSPECTION AFFIDAVIT
APR 19 2016
PER v11TTINIG
�� r� St. Lucie County, FL
Re: Permit# � \\V
1, Jamie Cisco , 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 I-Ie-DO-10 , I did personally inspect the roof deck nailing
(Date) `^ I /� r I C� I'
work at: (7 S 1 \ S Y1 �(`.1 �� ("1 -P�� i-1'L a� I
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the rida Existing Building Code Section 611 or the product approval submitted (whichever is
most strig t).
CCC1327796
S nature and Seal License#
STATE OF FLORIDA
COUNTY OF \n�
Sworn to and subscribed before me this A}� day of 2011
by Jamie Cisco Who is personally known to me or who has produced
FLU Wo 0 as identification.
Notary Public,State of FIqrida
Signature of Notary:
Commission Number: - e — H (Seal)
En 01/19/2011
F804ded
BRIANNA ZERGA
tary Public-State of Florida
Commission#FF 915764
Comm.Expires Sep 7,2019
d tluouph National Notary Assn.