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- _ Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2006-0658
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 an inspection.
On or about $/131220 , 1 did personally inspect the roof deck nailin
(Date)
work at: 7807 Eden Road, Fort Pierce, Florida 34951
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing uildin ode Section 708 or the product approval submitted (whichever
is4o'-4 strigent).,%� ///
CM 331408
Signature)66d Seal License #
STATE OF FLORIDA
COUNTY OF sC._ Q -
0 -
Sworn to and subscribed before me this 14 day of - T- 20 DZ::)
by {fie 2 KR -',I1, YN Who is personally known o me or who has produced
L4,!acs.--? n, as identification.
Notary Public, State ofF ori
Signature of Notary:
Commission Number: (Seal)
En
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ALEXANDERA:G'234'lirs
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