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_ 1 Building & Code Regulation Division
�I 2300 Virginia Avenue
COUNTY
* Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit A to—D�q2
Dee Keihn , 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 under468 F.S. to make such an inspection.
On or about /O i I 1 q , I did personally inspect the roof deck nailing
(Date)
work at: 7719 McClintock WAY Port St Lucie, FL 34952
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florid Exi ting Building Code Section 708 or the product approval submitted (whichever
is ryto t strige
CCC1331408
Signatu a and Sea License #
STATE OF FLORIDA r
COUNTY OF A G
Swor to and subscribed before me this � 2 day of G c l c b r y 20LT
by (c z iQ f V� Who is perso nown to a or who has produced
Notary Public, State of Flori
Signature of Notary:
Commission Number:
En
(Seal)
o °Yr°4G ALVIN RODRIGUEZJR,
r� MY COMMISSION #GG327319
EXPIRES' APR 24. 2023
Bonded through 1st State Insurance