HomeMy WebLinkAboutAlan or Laurie Perriello Inspection AffidavitPlanning & Development Services
- = - Building & Code Regulation Division
COUNTY k4", 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-467.-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2009-0107
Dee Keihn , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*Generol, Building, Residential or Roofing Contractor or any individual certified under 458 F,S. to make such on inspection.
On or about C1 2$ 202 I did personally inspect the roof deck nailing
(Date)
work at: 1203 Driftwood Lane, Fort Pierce, Florida 34982
(Job site address)
Based upon that examination I have determined the installation was done according to the current
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Building Code Section 708 or the product approval submitted (whichever
CCC1331408
License #
STATE OF FLORIDA
COUNTY OF :f[- L. ACC
Sworn to and subsc ibed before me this Z� day of St plc w<b 20y
by ( t�n Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number. C I (Sea!)
En
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MY COM MISSION #GG2346ii
EXPIRES; July a,2422
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