HomeMy WebLinkAboutRoof AffidavitFoLLINTY
d R I D A
Re: Permit# iq 12--02162
Planning & Development Services
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
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 under 458 F.S. to make such on inspection.
On or about I did personally inspect the roof deck nail ing
(Date)
work at: 17375 Hammock Ln Fort Pierce, FL 34987
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product ap
proval pprovai submitted (whichever
is os strige
_ CCC1331408
Signatu a and Seal License #
STATE OF FLORIDA
COUNTY of St Lucie
Sworn to and subscribed before me this day of _ t r r- b" .r Zp!
by �' K r Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number: (Seal)
En
,�pty 1p ALVIN RODRIGUEZ JR.
My COMMISSION #GG327319
EXPIRES: APR 24, 2023
Banded through 181: State insurance