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"� I _ �s� Building & Code Regulation Division 4.
'COUNTY 444117 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2 ftCEIVED
Fax: 772-462-6443
DEC 0 9 2016
ROOF INSPECTION AFFIDAVIT PERMING
St. Lucie County, FL
Re: Permit#
I, 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 /Z- /- �J% , I did personally inspect the roof deck nailing
(Date)
work at: ?0,5
(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).
0,5&q
Signature�and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20_,
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011