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Planning& Development Services
Building&C e Regulation Division
- 2300 Virginia Avenue
Fort Pierce, F 34982
772-462-216 or 772-462-2172
Fax: 772-462-6443F `
JUN 17 201E
ROOF INSPECTION AFFIDAVIT PER' I-MI NG
St. Lucie County, FL
Re: Permit# lk oo-e-).3/9
I, Shn! Dc,4-d)%i4n 6D4,-1h-V,i1 licensed a$ a n)Contracto /Engineer/Architect
(Please print name&circle license type) i FS mg Inspector
*General,Building,Residential or Roofing Contractor or any individual certified:under 468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing;
(Date)
work at:
(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).
4�� . —
Signature and Seal License#
40
STATE OF FLORIDA
COUNTY of
SSS/O q s
Sworn to and subscribed before me this lJ day of �U��� 20 ��qti SMay'y4potA �+
by Who is personally known to me or who has produc ?s2 �
Lic�i�"as identification, y�°;?0
a
Notary Public,State of Florida /��
Signature of Notary: ��
Commission Number: 7 / (Seal)
En 01/19/2011