HomeMy WebLinkAboutRoof Inspection Affidavit 2017-09-19 13:25 j .a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
i Planning&Development Services
�- Building& Code Regulation Division
2300 Virginia Avenue .
• I , Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax: x'72-462.6446
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1709-0128
I, KYLE WHITE licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector.
`General,Building,Resident!&!'or Roofing Contractor or any Individual cer lf/ed under 468 F.S.to make such an inspection,
On or about_ 09/19/2017 , 1 did personally inspect the roof deck nailing
(Date)
work at:—2.526 HA VE DR. FORT I E .
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the FI ilUsting Building Code Section 611 or the product approval submitted (whichever_is
most s
CCC1325895
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to and subscribed before me this 19th day of_SEPTEMBER 20 7
by KYLE WHITE Who is personally known to me or who.has produced
as IdentlFlcatlon,
Notairy Public,State of Florid ::LQ-
.a• ,i1SSiclv••.a'9
Signature of Notary; •0
Commission Number; FF 060 (Seal)~*
En 01/19/20125 #FF 936050
rnlli+�
RECEIVED SEP 19-.2017