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Building&Code Regulation Divisiong2300 Vir inia Avenue
oFort Pierce, FL 34982
- _ - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT 'AY 1 2016
PEPrJiiYTING
St. Lucie County, FL
j /T
Re: Permit# 16 0 " 0�) I
I, 41, (4�' Q h d /VAC U/ Com-' , 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 6-2,- J , 1 did personally inspect the roof deck nailing
(Date)[
work at: o )
(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).
Signature and Seal License#
STATE OF FLORIDA
%SworCOUNTY OF -57-
Sworn
n to and subscribed before m this r day of20L
by i-C Aa,d /VGA.. /C'k Who is personally known to me or who has produced
T--71_ C)..L: as identification.
Notary Publ' , to of"On a
Signature of o
Commission Number: 600 j (Seal)
En 01/19/2011 �
KAREN S. NIELSEN
A�Si'FY PyB�n��
:a Commission# FF 1
*" �r My Commission Expires
o.
'•;?��Fo�° P� June 12, 2018