HomeMy WebLinkAboutRoof Inspection Affidavit � planning.& Development Services '
, Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
.z 772-462-2165-or 772-462-2172"
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT i
Re: Permit# 2_001 520
1, 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 triake si ch an inspection.
On or about -�! - , I did personally inspect the roof deck nailing j
(bate)
work at: 840 SW Airoso Blvd, Port St: Lucie; FL, USA
(Job;site address)
Based upon that examination I have determined the installation was done according to the current
editi ofthe Flo 'd Exist'. Building Code Section 708 or the product approval submitted(whichever
I s strigen .
CCC1331408
Sign are and Sea!P License#
I
STATE OF FLORIDA
COUNTY OF Saint Lucie
Sworn to and su scribed before me this _day of_ err►u a"T�20�d
by t C r Gt Who Is pe kno n me or who,has produced'
a i n.
Notary Public,State of Florida
Signature of Notary: I
Commission Number: (Seal)
En
ALVIN RODRtGUEZJR.
MY COMIM SSION#GG327319
UNRE5:APR 24,2023'
80ndW ftnuo 1st State insuranee