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Roof Inspection Affidavit
Pi nning& Development Services a _ CEI 'j aU SU 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#)r'�Odo'004 " I, S�rnJ Sc©/U�oZ21 , licensed as a(n o �hgineer/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 ' Z— lI did personally inspect the roof deck nailing; (Date) work at: �TID.S' S4j rM /L47C k f,LU© (Job site address) Based upon that ination I have determined the installation was done according to the current edition of the ori a E ' 'ng Building Code Section 611 or the product approval submitted (whichever is most stri ). �GLUS•`S J-7.� ��UZ�� Signature and Seal License# STATE OF FLORIpA COUNTY OF 5 ,1rUC Sworn to and subscribed before me this day of 20 by c r Co.jAo Y%!�y)q Who is per 6nally a or who has produced as identification _• dNA''1VENS Notary Public,Stat"f Florida '" State of Florida6 ���a�,1 p�blic 'rtes Dec 187201 Signature of Notary: ��-2a� tixp 61 Commission Number: C-As-nro 1 f _ �' r11' =My comm( eP)a�oaa�tN.o��ary A°s�s`�n gnncied�h� ' En 01/19/2011 ;,,, r�3