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- _ Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, F! 34902
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #2005-04'7(t
Dee Keihn , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *F5468 Building Inspector
*General, Building, Residential or Hoofing Contractor or any individual certified under 468 F.S. to moke such an inspection.
On or about 0S I8 2 -OZ o 1 did personally inspect the roof deck nailing
(Date)
work at: 1103 N 37th ST Fort Pierce, FL 34947
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edit'df the Florida esti Building Code Section 708 or the product approval submitted (whichever
is st s rigeni�
CCC1331408
Signat a and Seal License #
STATE OF FLORIDA
COUNTY OF C- e—
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as identification.
Notary Public, State of Florida�
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Signature of Notary: - �-� !4, -
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ALEXANDER AGUIRRE
MY COMMISSION Go 234811
o` EXPIRES: July b, 2022
Bonded Thry Notary Public UmWwrillm