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Planning& Development Services -'IL7 ; �_- Building&Code Regulation Division g. 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# 1, Christopher Collins , 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 under468 F.S.to make such an inspection. On or about 01 1, I did personally inspect the roof deck nailing (Date) L r work at: Z-I U© 5- 34-o" 5221 �l�(� Bocce- (Job site address) Based on that a ination I ha a determined the installation was done according to the current edi ' n of the I a Exis . g i ding Code Section 611 or the product approval submitted (whichever is ost sty' e X CCC-058011 'ig a,urea Seal License# STATE OF FLORIDA COUNTY OF Sworn to qnd subscribed before me this a" day of r 20LkQ bvc✓o �V p� L c;u .o Who is personally known to a or who has produced 1%Llh C g3:Z talo L9o�- s3o as identification. Notary Public,State of FI Signature of Notary: Commission Number: (Seal) En 01/19/2011 w ' 4ACMELTAMARA V1LLApUEL. 81 �IOp►E'1�IIE-Sht10l Floyd@a COIrOnitston i FF 919112 MY Ceram-EX083 Jan I t.2020