HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
mw Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
0 R 1 0 Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 0 0 1 - UZOa
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 t I �O l l2021 , 1 did personally inspect the roof deck nailing
(Date)
work at: 5306 Sunset Blvd Fort Pierce, FL 34982
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio/W'of the Florida Existing Bu' din .-Code Section 708 or the product approval submitted (whichever
is m4s� strident). n
CCC 1331408
Signature Ad Seal License #
STATE OF FLORIDA -
COUNTY OF -5F- LAy —e
Sworn to and subscribeq before me this �� day ofa1s20?
by Who is personally known to me�or who has produced
as identification.
Notary Public, Stat of FI ri a
Signature of Notary:
Commission Number: (Seal)
En
4Y�U�c ALEXANDERAGUIRRE
,; MY COMMISSION # GG 234811
EXPIRES: July 4, 2022
OK K6 , Bonded Thru Notary Public Underwriters