HomeMy WebLinkAboutRoof Inspection Affidavit.pdfPlanning & Development Services
J _ Building & Code Regulation Division
COUNTY i
2300 Virginia Avenue
Fart Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2007-0787
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 individuai certified un der 468 F.S. to make such an inspection.
,R
On or about V '/9/2020 1 did personally inspect the roof deck nailing
(pate)
work at: 5101 Paleo Pines Circle. Fort Pierce. Florida 34951
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edit' - f the Florida isti � Building Code Section 708 or the product approval submitted (whichever
is st s.irigent}.
CCC 1331408
Signatqfe and Seal License #
STATE OF FLORIDA
COUNTY OF :2'. WCL Q
Sworn to and sub sc[11De before me this 1�day of f 2t�
by 1✓ drtr, Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:_ _ .-q '}—
Commission Number: Cn G2i a6� SI t (Seal)
En
E7�
ALEXANDERAGUIRRE
MY COMMISSION# GG 234811
,? EXPIRES: July 4, 2822?*+ Bonded Thru Notary Punic Undeswrb"