HomeMy WebLinkAbout05011899
04/25/2007 00:0Ø 7724625257
ST LUCIE CO
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ATTENTION: RAY W AZN¥> BUll.,DING OFFICIAL
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~ (OWNERlBUILDER),
AM REQUESTING 1HA T THE ABOVE PERMIT NUMBER BE RENEWED. 1
UNDERStAND TIIA T 1 MUST SCHEDULE AND PASS ALL NEEDED
INSPECTIONS FOR TIllS PERMIT TO BE FlNALED.
OWNER~S
ADDRESS
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OWNER'S PHONE NUlvIBER
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OWNER'S SIGNA rURE
ST LUCIE CO
PAGE 02
Rt, ~dential Roof Dry -In Affidavit
St Lucie Gounty, Publi,c Works Department
~ Code Compliance Division _
Building Permit # ~(.-. ~9'f'
Own~r' s Name \::j. -' '" \ c--\-
OWl1ee s Address \t LD of A \ d L .f) ~
Contractor
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Contractor's Address
I certify that: The required Lappio,g and FasteD.ers of the underlayment
(roof felt); -hot mop, if -required aDd flashing have beeD installed in
accordance with Chapter IS of the F1orid,a Building eode and Chapter 9
of the Horida BuDding 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-
Coonty of any .l.iabi6ty with resp~t to the instaDation of these materials.
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OWNERlCONTRAcr'OR' S SIGNATURE
ST A TE OF FLORIDA
COUNTY OF -1¥ Urt(f¡
The foregoing instmm.ent was acknowledged
~foreJ_e this J£. day of (>d1Jt., 20.Q1, by
· (£1{),f-1o~ . ~ho is DeI'sonalJy
known to tne or who has produced --
-< ~ as identification.
J
. Marion Malon
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HOMEOWNER' S SIGNATURE
ST ATE OF FLORIDA
COUN1Y OF Sf LtJ(/(fJ
The foregoing in~ment was aCknowledged
~f~,me thj~daY of W/2 '"" , 20!2 by
{). €ú.¿/Yl t who is llersonaU y
known to me( or who has produced
-< - as identification.
I Notarized C
Ø4/24/2007 23:3& 7724625267
ST LUCIE CO
Fax Transmission Sheet
To: Mr. and Mrs. Daniel Newman
Fax #: 878-0625
From: Doris Pelton, Permitting Department
Fax: 772.462.5267
Re: Expired pennit 050 1-1899
Attached please find two of the forms needed in order to renew and final out
your roofpennit. On the Residential Roof Dry-In Affidavit, sign both sides
of signature line. This also must be notarized. If you bring them to the
Building Department we can notarize it for you. Remember, you must sign
in ttont of the notary so please do not sign until that time. Both fonns need
to have the original signatures so faxed copies are not acceptable. We
cannot schedule the inspections until these fonns are signed..
If you have any question.s, please feel free to call me at 462-2167.
Thank you in advance for you help.
Doris Pelton
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