HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
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 #2,010 _ 002'8
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 2(-Pt4 tr 224A ZD41 did personally inspect the roof deck nailing
( Date)
work at: 7003 Sebastian Road, Fort Pierce, Florida 34951
(Job site address)
Based upon that examination I h determined the installation was done according to the current
ed'i n the Florida Existi uilding Code Section 708 or the product approval submitted (whichever
is`oft s nft •�
CCC1331408
Signaturedand Seal \--J License #
STATE OF FLORIDA
COUNTYOF-t _ LA -k 1�
Sworn to and subscribe before me this day of ISL 20c
by C8= eL Who is personally known to me or who has produced
,/In o ,h6 u as identification.
Notary Public, Stateof to ida
Signature of Notary:
Commission Number: (Seal)
En
ALEXANDER AGUIRRE
MY COMMISSION#GG 234811
Q� EXPIRES: July 4, 2022
Roo ? Bonded Thru Notary Public Ur&rw iters