HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
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 # 0 i — 063S
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.
12-2, /Z-02-(D,lOn or about did personally inspect the roof deck nailini;
(Date)
work at: 2712 Placid Ave Fort Pierce, FL 34982
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edit' of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is ost trigent).
CCC1331408
Signatur and Seal License #
STATE OF FLORIDA
COUNTY OF'igT� -R -
Swo to and suubbsz'crif ed before me this � day of 6mk) 20
by I^— . Who is personally known to me or who has produced
NxtA-t7v� as identification.
Notary Public, State of to ida
Signature of Notary.
Commission Number: (Seal)
En
<Yey ALEXANDERAGUIRRE
MY COMMISSION # GG 234811
EXPIRES: July 4, 2022
Bonded Thru Notary Public Underwriters