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�lzimiwg - -�- �� p► � � Building&Code Regulation Division
2300 Virginia Avenue
FLO R1 DA -440 Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443 RECEIVED
ROOF INSPECTION AFFIDAVIT DEC 29 2016
PFRIAITTING
St. Lucie county, FL
Re: Permit#
1, �o ck Q u tf- , licensed as a( Contracto /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 \2�a-q l , I did personally inspect the roof deck nailing
(Date)
work at: JJ O 5 0 "At J�A jja a t_1ac-,
(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).
1 Y 112 72
Signatur6 and Seal License#
STATE OF FLORIDA rr
COUNTY OF ;t, LUe ,e
Sworn to and subscribed before me this day of De t,i.vy\L,1.., 20*
by ,-jj \ "M c r' Who is personally known to me or who has produced
as identification.
Notary PuFnNum
tate of Florida _ /J
Signatureotary: •C•�/5
Commissi (SeaAMNIE HILLS,SR.
?o' c* My COMMISSION#FF 211362
En 01/19/2011 * EXPIRES;Jury 18,2019
41 Bonded Tera Budp/t Nowy Smkw