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Building&Code Regulation Division
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UNT
® Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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ROOF INSPECTION AFFIDAVIT
Re: Permit 1#
I,_M ICA-*&t 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 17,Th 6 1 did personally inspect the roof deck nailing
(D e) F-1-
iwork at: �, OW i+ emp— `0 1.,JD RR-Y-c e- -?C r s-/
(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).
CCC,13 ,36 06 Z-
Signature an Sal License#
STATE OF FLORIDA
COUNTY OF
Sworn,to and subscribed before me thi � day of 20�
by is ersonally o n to me or who has produced
ajintiflicatti"on.
Notary Public,State of Florida
Signature of Notary:
Commission Number: ( al)
En 0 19�(2ft,� ANGELA M HUFF
Notary Public-State at Florida
P Commission#FF234730
a;Fov F�oP;°•• My Comm.Expires May 27 P018
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