HomeMy WebLinkAboutRoof Inspection Affidavit (, (3
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1811.11111111111111 Planning& Development Services
Building&Code Regulation Division
COUNTY ,.
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,.,., 2300 Virginia Avenue
FLORIDA . ,' Fort Pierce,FL 34982
772462-2165 or 772-462-2172 ti*
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Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT , tt,77
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Re: Permit# 1809-0134
1, KYLE WHITE , licensed as a(n)Contractor*jEngineer/Architect
(Please print name&circle license type) *FS468:Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 408 F.S.to make such on inspection.
On or about 11105/201 , I did personally inspect the,roof deck nailing
(Date)
work at: 5635 TRAVELERS WAY, FORT PIERCE .
(Job site address)
Based upon that examination l'have determined the installation was-done according to the current
edition of the Fl•-`'.r.: ( isting.Building Code Section 611 or the product approval submitted(whichever is
most str:ditiop< /
C C C1325895
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to and subscribed before me this 5th day of NOVEMBER 20.1a,
by KYLE . who is personally known to me or whbhas produced ..
A10111111/////,
as identification. ‘"' kie A4.4 4
,41, 4C)' il
Notary Public,State of Florida ". . A
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Signature of Notary: i C 41 ....01,.. . Ilirtit 140'4 z,-*. e.c.o. 4...
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CommiSsion Number: FE 9361 0 - - I) a i
IA% aFF 93800
En P1/19/2011 '5;'14):**Ukatiths,ar,isi,74-
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