HomeMy WebLinkAboutRoof Affidavit inspectionPlanning & Development Services
- - Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FI- 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 200 1-- 0 Z2,7
Dee Keihn , licensed as a(n)Contractor*/Enginee r/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 i 2j IIA37-0 , I did personally inspect the roof deck nailing
(Date)
work at: 3218 Mura Drive, Fort Pierce, FL, USA
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edit' n of the Florida E _ ing Code Section 708 or the product approval submitted (whichever
is os strigen
CCC1331408
Signatur and Seal License #
STATE OF FLORIDA
COUNTY OF 5 " o
Sworn to and subscribed before me this i day of
tin tray Y 20 2G
by Who is personally known to me or who has produced
as ide'
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
ALVIN RDDRIGUEZ JR.
° MY COMMISSION #GG327319
:.
EXPIRES: APR 24, 2023
��OFP Bonded through 1 St State Insurance