HomeMy WebLinkAboutRoof Inspection Affidavit Planning:& D.evelopinent-Services
Building&Code Regulation Division
2300 Virginia Avenue
I Fort;Pi.erce, FL 34982
772-462-2165 or 772-462-2172
Fax: .772-452-5443,
ROOF INSPECTION AFFIDAVIT
Re; Permit.# 1902-0564
1, KYLE WHITE licensed as a(n),Contractor*%Engineer/Arc,hiaect
(Fleas'e print name& circle license':type) *FS4'5g Building:lnspectoY
GeMeroi,Building,Residential,or Roofing;Contractor or ony individual certifted.under958.F.S.to`tndke,such an inspection:
on or about 04104/2019 , I did personally inspect the roof deck-nailing
(Date)
Work at: 48.0.3 EAGLE.DRIVE FORT PIERCE
(Job site address)
Based upon that examination [have determined the installation was done:a:ccording:to,the-current
edition of the Flo ' xisti Building Code Section 611 or"the product approval submitted (whichever is
most'stri
QQQI325895
Signature and Seal Liicense.#
STATE OF RO'RID"A
:COUNTYOF ST LUCIE
Sworn-to and-subscribed before me this 4TH day of APRIL 20'
19
by. KYLE WHITE who is personally known to ime orwho.has:praduced
as identification, �yttttitli!!illNJt�f�f
Notary Public,State of Florida ,
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Signature of Notary: n'x' `�sro: w
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Commission Number:_FF 93605 {Seal. *; @m.a
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FF 938054
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