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Building&Code Regulation Division
Y
• UNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# / -M/7
I, Larry Neese , 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 -113 - 1k , I did personally inspect the roof deck nailing
(Date)
work at: 461 SE Naranja Ave. Fort Pierce, FI 34953
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F xisting Build' ection 611 or the product approval submitted (whichever is
most stri t).
CCC1330608
Signte and al License#
STATE OF FLO A
COUNTY OF ,
Sworn to and subs ribed bgfgre me this day of 20J
by LAMA C �Op�Q� Who i personall known o me or who has produced
as identi ication.
Notary Public,State of rid WLUp,M'(.l)P M%E
1*RY PUgli
Signature of Notary: '••'• `� MYCOMMiSS10N#FF921620
Commission Number: 'moi=�L (oma * EXt)Novembet7,2�19
T— sMuo� g�dedituu8u84e1NofaNsenxee
En 01/19/2011
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