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A R I D A
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # IU 05 _ 014011
ILff— 'Dnnwnbm:� licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle I' se type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 458 F.5. to make such an inspection.
On or about �� — 1l0 I did personally inspect the roof deck nailing
(Date)
workat: SWX t'�Qa sk
(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
STATE OF FLORIDA
COUNTY OF �S-�—1 u CAL11
CC, )3309bb
License #
Sworn to asubscribed before me this day of Y\U 20L
by 1rLQ,1�o is personally known o r who has produced
as idents icatlon.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
SONIA DESTAFNEY
MY COMMISSION #FF125420
EXPIRES May 21, 2018
(407) 398,0153 FloridallotaryService.com