HomeMy WebLinkAboutRoof AffidasvitPlanning & Development Services
W - Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # �j p2G 1
Dee Keihn , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *F5468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about P 2 f 10 /,Z ` Iq I did personally inspect the roof deck nailing
( Date)
work at: 7300 Mystic WAY Port St Lucie, FL 34986
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edi on of the Florida Existing Ilding Code Section 708 or the product approval submitted (whichever
i mo t strigent)--\ `
SignatuP6 4nd Seal
STATE OF FLORIDA
COUNTY OF St Lucie
CCC 1331408
License #
Sworn to and subscribed before me this _ 2 - day of c �G� lir� 20_L
by a { `T h 'I Who is personally known to me or who has produced
as identificatica-
Notary Public, State of Florida
Signature of Notary: 4r
Commission Number: (Seal)
En
lrvr"A� ALVIN RODRIGUEZ JR.
=°f� MY COMMISSION #GG3273i9
EXPIRES: APR 24, 2023
Banded through 1st State Insurance