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J _ - Building & Code Regulation Division
2300 Virginia Avenue
COUNTY Fort
_ Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
Dee Keihn , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or hoofing Contractor or any individual certified under 468 F.S. to make such on inspection.
On or about 10/2 0/ [q , I did personally inspect the roof deck nailing
(Date)
work at: 272 Bermuda Beach DR Fort Pierce, FL 34949
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition_Qf the Florida Existlingpuilding Code Section 708 or the product approval submitted (whichever
is mo t st igent*andSeal
Signatur
STATE OF FLORIDA
COUNTY OF
CCC1331408
License #
r�x
Sworn to and subscribed before me this r_ r' day of (jCf'4" 20J
by who is personally known to me or who has produced
as identi 'ca'
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
,.� P� ALVIN RODRIGUEZ JR.
o.
r MY COMMISSION #Gti327319
EXPIRES: APR 24, 2023
Bonded through 1 st State Insurance