HomeMy WebLinkAboutBuilding Permit Application From:Jay Medina Fax:(772)361-6580 To:St Lucie County Inspect Fax: (772)462-1578 Page 3 of 3 06/2312017 11:42 AM
planning&Development-S.ervices.
Building-&..Cede.Regulation b.141sion
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irilaAvenue
. ':. Fort-Plerce, FL.30 2
>; 772-462-26S at 77462-2172
Fax;772-462-'6443
ROS,] .lWiwC110na AFFIDKVtT MAY 2 3 201'?
PERMITThNIG
St. Lucie County, FL
Re: isermit# 1705-0133
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(Please Print name�&circle kensetjrpO *FS468 Building Inspector
0,Gcnero6:'8u1H6gl ftesfden tldi ar Ropfinq Con&odar or 6n)r 1nddvlduul certified u►rder�l5&F:S.to maitre such yin inspecricrn,
ren or about: 5122117 1 did personally inspect the roof dec nailing
(Date)
work'at. 3105 Scarlet Ibis Ln Port St Lucie, FL 34952
(Job site address)
Based upon that-karninatisln#haue determined the instailation was*done according to the current
edloon of the Florida Existing.tiuiiding Cade Stiction 611 or the product'apprOval submitted{whichever is
most
CCG13306O8-
Signatu '. td.�eal License##
STRTE OF FLORIDA
COUNTY OF
Swornto and subscribed before me'this.22 day of May 20?
Who is oesonallyknown tv me orwho has producer
as ideritification.
Notary Publi.c.;*State:.of iottida.s - -
Signature tsflNotary: . ., [1 -IAIKcommission Number. '!S3:S7Iu4lNylItlp;12F0
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