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Roof Affidavit
Planning & Development Services - _ 4 Building & Code Regulation Division COUNTY 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit 4003-oiS7 I, 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 on inspection. ©n or about 902-0 I did personally inspect the roof deck nailin (Date) work at: 5505 Killarney AVE Fort Pierce, FL 34951 (Job site address) Based upon that examination I have determined the installation was done according to the current editfffthelorida Existin�ui ng Code Section 708 or the product approval submitted (whichever is ). CCC1331408 Signature nd Seal License # STATE OF FLORIDA COUNTY OF r . �uci Sworn to and subscribed before me this day of rid 20 2J0 by ae e— KC v~ Who is personally known to me or who has produced as identification. Notary Public, State of Florida Signature of Notary:--� Commission Number: (Seal) En Er" ? ALEXANOERAGUPRRE. MYCQMMISSION # GG 23011 EXPIRES: u#y 2� Bonded TA {° Punic Un