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L Building & Code Regulation Division
COUNT 2300 Virginia Avenue
Fart Pierce, Fl. 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #2009 -0140
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 458 F.S. to make such an inspection.
Qn or about /01/2020 , I did personally inspect the roof deck nailing
(Date)
work at: 7663 Charleston Way Port St. Lucie, FL 34986
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Exist[ g Building Code Section 708 or the product approval submitted (whichever
is s s " en
r
Signat a and Seal
CCC1331408
License #
STATE OF FLORIDA
COUNTY OF�ulCAel
Sworn to and subscr'bed before me this d day of 202.3 ,
by De e- � .. Who is personally known to me or who has produced
as identification.
rvUIRRE
Notary Public, State of Florida ..rT .; _,41SSION#GG 234811
Signature of Notary: �,' vr4pa`' Exp�3.July 4,2M
os n ,,•• gpnM The! HOMY Public tlnrdWWPA s
Commission Number: (Seal
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