HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Cade Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT PCoe-,,opt
Re: Permit# IM-0405
1, Dee Keihn , licensed as a(n)Contra ctor*/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 Cl` '� 9" la I did personally inspect the roof deck nailing
(Date)
work at: 835 Se Tierra Ct, Fort Pierce
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio the Florida Ex' ing Buil ng Code Se 708 or the product approval submitted (whichever
is st i nt).
CCC1331408
Signatur a d Seal License#
STATE OF FLORIDAL r
COUNTY OF '' 11 A �l ,� / p
�
Sworn to and subscribed before me this 3 day ofCJC/ 2b�,
by t—)p e C e `- — Who is personally known to me or who has produced
�Lp as identification.
Notary Public,State of Florida
Signature of Notary:_ ,�te ! �-
Commission Number: (Seal)
En ;;;.p TERESA BENNIGAN
.�'r k.. Notary Public—State of Florida
Commission.#GG 167257
My Comm.Expires Dec 29 2021
,� Sonded:hrorgh NaWa N"ry ASSN