HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
a Building&Cade Regulation.Division
2360 Virgiriia.Avenue
I
t Fort Pierce,;FL.34982
772=462=2165 or 772-462-2-172
Fax: 772462=6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#. jqD:3—b5O_3
1, Dee Keihn , licensed as an}Contractor*/Engineer/Architect
(Please print,naine&circle license type,) *FS468 Building Inspector
*6energl,Building,Residential or Roofing.Contractor or any individual certffiedunder.468 f:5:to moke>'sui:h cin,inspect7on.
Onor about , I did per"sonally inspectthe'roof deckxia 1 1 lina-
'Work at: .3365 !_l a-&& }3 t o4& Q F'L J�glf.S
(Job site address)
Based upon that examination I have determined the installati.On 4VaS done according to.the cUrrent
editio: `f the Florida Exis" g B' Ilding,Code Section 708.or the product approval submitted-(whichever
is m .s ri ent).
CM 33 4,08
Signature nd Seal License#
ELIZABETH OLIVC
ffl'- -O'
Notary Public-State.91 FloridaCommission#FF 924719
STATE OF FLORIDA FMy Comm.Expires Oct 5 29,q
St..,Lucre 'a...„„ Bonded through Nationamot ry r; .
COUNTY.OF -
--� `
Swor.' :to-and subscribed:before me this, day of MGr'GV\ 20�
by .t V—W\ Who:is personally known to me or who.has produced
as ific on.
Notary Pubitc State offFlbada
signatureof Notary:
Commission,Nurriber: (Sea))
En