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P. 9i PiBuilding & 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 # 2o0li -oli-o
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 on inspection.
On or about -7)10'20 1 did personally inspect the roof deck nailing
( ate)
work at: 103 Riverview DR Jensen Beach, FL 34957
(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 rpt strigent�, Z I --
CCC1331408
Signage and Seal I--' License #
STATE OF FLORIDA '
COUNTY OF � LAIC�- �e-
Sworn to and subscribed before me this day of 1, 202:�?
by bee- Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida 4
Signature of Notary:
Commission Number: (Seal)
En
•. ALEXANDERAGUIRRE
MY COMMISSION # GG 2'34811
EXPIRES: July 4,2022
Bonded Thru No" Pubk uridaw t m