HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
ft.4ij= Building & Code Regulation Division
COUNTY
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2009-0414
Dee Keihn licensed as a(n)Contra ctor*/Enginee r/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individuol certified under 468 F.S. to make such on inspection.
On or about 9 2 19 2 O 2 O , I did personally inspect the roof deck nailing
(Date)
work at: 934 Wagner Place, Fort Pierce, Florida 34982
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editi n of�e Flor E !sting ilding Code ection 708 or the product approval submitted (whichever
is sdNtr entl.( j /
CM 331408
Signature/and Seal License #
STATE OF FLORIDA
COUNTY OF 0', 11�%lQ
Sworn to and subscribed before me this r;Lq day of 20oJ
by C�P— Who is personally known to me or who has produced
t�x�n Cs"— as identification.
Notary Public, State of Fla a � _—
Signature of Notary:_
Commission Number: (Seal)
En
ALEXANDERAGUIRRE
MY COMMISSION # GG 234811
4.
EXPIRES: July 4, 2022
¢O„ ' Bonded ihni Notary Public Undervrtors