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Planning& Development Services
,r r 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#
I, Larry Neese , 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)
work at: 3236 West lake Dr Fort Pierce, FL 34982
(Job site address)
Based upo ination I ve determined the installation was done according to the current
edition the Flori a Existin Building Code Section 611 or the product approval submitted (whichever is
most str nt
CCC1330608
ignature nd eal License#
STATE OF FLORIDA
COUNTYOF '�-T Z-tl-G l-.e
Sworn to and subscribed before me this A da of i1t'!�? Y 20
by 1-a rry f'/l�c'r S'e Who' n o m or who has produced
as identification.
Notary Public,Sta4olVa - - G
Signature of Nota e-%- BEN
THERRIN
Commission Number: EXPUkEssloN 0,2020529
� ��;J„iy io,2020
OF
En 01/19/2011
RECEIVED NOV 0 8 2016