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Building & Code Regulation Division
2300 Virginia Avenue
ell I IL Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2002-0716
KOH KNOX , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *F5468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.5. to make such an inspection.
On or about 3/12/2020 , 1 did personally inspect the roof deck nailin
(Date)
work at: 1618 NW Buttonbush Circle Palm City, FL 34990
(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 approval submitted (whichever
is most strigent).
Sig tune and Seal
CCC1331450
License #
STATE OF FLORIDA
COUNTY OF COLLIER
Sworn to and subscribed before me this 12 day of MARCH 20 20
by KOH KNOX Who is personally known to me or who has produced
PERSONALLY KNOWN as identification.
Notary Public, State of Flo 'da
e:7
Signature of Notary: ��
Commission Number: QAG 307cl,94 (Seal) �fpy P�. , LAIKEN GRACE O'KEEFE
Notary Public - Stite of Florida
,+ . commission " GG 307994
En
?oF e" Nay comm. Expires Mar 5, 2023
El nded through National Notary Asm.