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3. Deck Nailing Affidavit
5. Company
6. License Number
8. Date
10. Project Information
12. Permit Number
13. Address
15. City
16. State
17. Zip
19. I, ______________________________________________, affiant, hereby affirm that I am the duly licensed contractor of record for the above referenced permit, that all of the foregoing information is true and accurate, and that the deck nailing components of the roofing system installed at the above referenced address has been installed in accordance with The Florida Building Code.
22. CONTRACTOR:
    (Printed name)
25. CONTRACTOR:
    (Signature)
27. STATE OF FLORIDA, COUNTY OF ___________________________________
29. This instrument was acknowledged before me by means of □physical presence or □online notarization, this _______ day of ________________________ 20______ by _____________________________________, who □is personally known to me or □has produced _________________________ as identification.
32. Notary Public Signature:
35. Printed Name:
38. My Commission Expires:
40. AFFIDAVIT MUST BE COMPLETED AND AVAILABLE TO INSPECTORS FOR FINAL INSPECTION
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41. Print Only

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