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Building&Code Regulation Division
ICOUNTY
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 7.72-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit'#CX&-043.7
i, Dee Keihn , licensed as a(n)Contractor*/Engi nee 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 an inspection.
On or about / l-��2 , I did personally inspect°the roof deck nailing
(Date)
work at: 7212 Mystic Way Port St.Lucie, FL 34986
(Job site address)
Based upon that examination I have.determined the installation was done according to the current
editio _ #the Florida Existin uil I g Code Section 708 or the product approval submitted (whiclever
is m stri t).
CCC1331408
Signatur and Seal License#
i
STATE OF FLORIDA ,
COUNTYOF 5 -. U-A C_.c-e
Sworn to and subscribed before me this '7 6 ay of 20 L0
by C7 P— Who is personally known to me'or who has produced
►� r,owr� as identification.
Notary Public,.State of Florida
Signature of Notary:
Commission Number: (Seal)
En
!: ALEXANDERAGUIRRE
:,,• ,: MY COMMISSION O GG 234,811
ray; EXPIRES:July 4,2022
Sy)� 0�;,,
Bonded Thru Notary Pubk Urbeni&M
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