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R\;sidential Roof Dry-fn Affidavit
St Lucie County, Public Works Department
Code Compliance'Division
Building Pennit # <; L- <.. - L-..¿';} \ 0 1- "-3 34
Owner's Name :=S-\.-' L ,ç;--("'
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Owner's Address ~ö S"
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Contractor
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Contractor's Address ß6~ ç. ~~1:>~ ~\:'l.~ ~.. ~.~Q..Ö;
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;r""Z;~tcertifythat: The required Lapping and Fasteners of the 'underlayment
(~þ()f felt); hot mop, if required and flashing have been installed in
aêcordancè with Chapter 15 of the Florida Building Code and Chapter 9
of the Florida Building Code, Residential with approved revisions and
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meet the requirements of the product ·approval.
~,
I understand that by executing this. Affidavit IIí~reby relieve St Lucie
County of any liability with respect to the ,installation of these materials.
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OWNERJC
NATURE
~o~ :TURE.
, . "j, .·.·ST A TEOF FLORIDt
",::',i '. '. .... ",. . '
i,\ IJ!;!';' COUNTY OF cs.t u..e.. \ e:
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STATE OF FLORIDA
COUNTY OF ~f\
The foregoing'j,nstrument was acknowledged
before me this " day of j\)C"\L , 2001, by
\k,'f~ f.\.\~ \-\ty .~ ' who is personally
known to me or who ha produced
çL, bL as identification.
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Signature of Notarr, (1
--2:> '( U ý) ~ t c\ C\ '--.Ct\' d CInq
Type or Print Name of Notary
The fore~going instrument was acknowledged
·"QefQrem.e thi s ~ day of 11Jt'K... , 20aJby
"JO I ¡~¡f l.(wl(!i) , who is personal1y
k~fn t~r who has produc~d .. .
as ldentlflcatlon.
1\~~ ~
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" 1", '
: 'n '\ . (;¿u .
\ S· ¡;ture OfN~
l/VU·f1n \3L Co/ (S S
Type or Print Name of Notary
~ '~""""ê
Commission No. <;SS 7f >' 0 (Seal)
otarized Copy will be accepted.
Cn11 revised 1/17/ -