HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJ
COUNTY :....
F 1, O R 1 D A -
SCANNED
St. Lurie CaUnN
Re: Permit # SLC-1808-0114
Planning & 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
IDee Keihn - . licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) . *FS468 Building Inspector
RECEtVED
Perrnit i, D
Sr Lucie county ent
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about . I did personally inspect the roof deck nailing
(Date)
work at: 102 Riverview Dr. Jensen Beach FI, 34957
(Job site address)
Based upon that examinatio I have determined the installation was done according to the current
ed' ' of the Florida is'g Building Code Section 708 or the product approval submitted (whichever
Sign6ture and Seal
STATE OF FLORA I j
COUNTY OF ✓' J ti C
CCC 1331408
License #
7
Sworn to and subscribed before me thisis+ day of frc% Zo e
by t7..e /Xti hh Who is personally known to me or who has produced
2(� as identification.
Notary Public, State of Florid JOSE G ACOSTA
Signature of Notary: !'t.�-- �• � ,a'< ? Notary Public •State of Florida
Coinmission � GG 028448
Commission Number: C �� k41$ (Seal s�' My Comm. Expires Sep 8. 20,20
En
Boncfea thiaugtl Nal.unal Notary Assn.