HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
ff J '_ = Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772=462-6443
SCANNED
ROOF INSPECTION AFFIDAVIT BY
St. Lucie Countv
Re: Permit # �Q 05-01y3
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 L-5[2- 2-0\C� I did personally inspect the roof deck nailing
(Date)
work at: 104 Riverview Drive, Jensen Beach, Florida 34957
(Job site addres
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existina Buildina Code Section 708 or the product approval submitted (whichever
is st trigent).
r
CCC1331408
Signatur and Seal License #
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to and� /su�bscribed before me this (� day of /1/i a,r 201,
by �26 hX.It Who I rsonall kn d me or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary:
Commission Number: / ;NNRODRIGUEZJR.
MYCOMMISSION#GG327319
En EXPIRES: APR 24. 2023
ellan'ded Mmugh lststate Insurance