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Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443 RE C E-Pi i,,�
AUG 3 0 �
ROOF INSPECTION AFFIDAVIT PERNIITTIi,�G,
St. Lucie Ccu;r-iy, p`_
Re: Permit# 5100
I, V O&a r-\ CAO �re- 1l all�c, 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 , I did personally inspect the roof deck nailing
(Date) 1
work at: (301 �af'!�%� l�P . ' - .� erC e..
(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).
PWAaaPi � �� a CCC - V3 !s Oro 2
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF S7
Sworn to and subscribed befo a me thiseienti
qday ofyt\ S,S� 20q
by N'� IL\LQ® 0 � lic '
ally known o me or who has produced
as
Notary Public,State of Florida
Signature of Notary:
Commission Number: _ ,0.1Z
PAULETTE BLAIR-ALEXANDER
Notary Public-State of Florida
En 01/19/2011 Pew
Commission N EE 632935
My Comm.Expires Sep 6'2016