HomeMy WebLinkAbout1912-0308 - AFFID.pdfPlanning & Development Services
Building & Code Regulation Division
iGj I�u 2300 Virginia Avenue
•
� Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1912-0308
I, KYLE WHITE 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 40 F.S. to make such an inspection.
On or about 01/17/2020
(Date)
I did personally inspect the roof deck nailing
work at: 10605 PINE CONE LANE, FORT PIERCE
(lob site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existin Buil g Code Section 611 or the product approval submitted (whichever is
most strigent).
CCC 1325895
Signature and Seal License #
STATE OF FLORIDA
COUNTVOF ST LUCIE
Sworn to and subscribed before me this 17th dayof JANUARY 202D
by KYLE WHITE
.Who is personally known to me or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary:
Commission Number: GG 365203
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NADINE AfIlSA
Cwnm63bnkGG355203
En 01/19/2011�Expires
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November 15,2023
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