HomeMy WebLinkAboutRoof Affidavit inspectionC 7 NTY
F L 0 R[ D A
Re: Permit # Do
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 468 F.S. to make such an inspection.
On or about } 8 bg2-0 1 did personally inspect the roof deck nailing
(Date)
work at: 3350 S Jenkins Rd Fort Pierce, FL 34981
Based upon that examin
eOitio'4 of the Florida-Exi
Signature a�d Seal
STATE OF FLORIDA
COUNTY OF {
(Job site address)
pa,,I have determined the installation was done according to the current
ng Buil*g Code Section 708 or the product approval submitted (whichever
CCC1331408
License #
Sworn to and subscribed before me this l day of I G &, N C. in � C1
by t C o Who is personally known to me or who has produced
as Ldentif' �
Notary Public, State of Florida /
Signature of Notary:
Commission Number: i (Seal)
En
Y ALVIN RODRIGUEZ JR.
#� MY COMMISSION #GG327319
EXPIRES: APR 24, 2023
^ Bonded through 1st State Insurance