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d.esidential Roof Dry-In Affidavit
8t Lucie County, Public Works Department
Code Compliance Division
Building Permit #
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Owner's Name
Owner's Address
Contractor
Contractor's Address
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I certify that: The required Lapping and Fasteners of the underlayment
(roof felt) and flashing have been installed in accordance with Chapter
15 of the Florida Building Code and Chapter 9 of the Florida Building
Code, Residential with approved revisions and meet the requirements of
the product approval.
I understand that by executing this Affidavit I hereby relieve St Lucie
County of any liability with respect to the installation of these materials.
?j~~~~~URE
STATEOFFL?!ffAI1J( .~
COUNTY OF · ~ J' \.,'
STATE OF FLORIDA '
COUNTY OF _1/ '-4 ( ;''e-
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Signf!ä7ãr {'(:
The foregoing instrument was acknowledged
before me this ~ day of ~' I) , 20~ by
'R L Jð.Cßb~of' " ~i~p~all~7
known to me or who has ~
as identification.
~-',~~~ ~
, . ~Signature of No ary ~""
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Type or Print Name of Notary
Type or Print Name of Notary
Commission No.
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tJjY, .þ,u.,','~_, Notary Public St8,t, {,' at, F,'. '"o.rl c1. a
eft ,"" Jennifer Newland
\.: ,,; "'~ Commission OOj~~WiJ
. '~'rp.~~ Expires 02121/200,3
tarized Copy will be accepl.' .-_.~. -"',-,;CL ' ,>
Commission 'No.
No Faxed Copies,
dmg revised 12/22/2006