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SPECTIONS PAGE Ðl/ßl
04/Et9/?e~7 elf 1:.: 1~...: · 77~~~764.a.t::~IUeDllëU ii.cJOI vry- m Allldavit
· .. St Lucie County, Public Works Departtnent
Code Compliance Division
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Owner's Address ) 0 {¿ AtVrõte eel Foe t :e, f/ r ( ~ ¡: L
Contractor-±:l~ddo~ Tý)5J~ìon ~rVt(e ': -~
Contractor's Address
I certify that: The required Lapping aDd Fasteners of the underlayment
(roof felt); hot mop, if required and t1ashing have been installed in
accordance with Chapter IS of the Florida BuDding Code and Chapter 9
of the Florida Building Code, Resid~tiaJ with approved revisions' and
meet the requirements of the product approval.
I ~derstand that by eX~nt.µag this AfI1davit I hereby relieve St Lucie .
County of any liability with respect to the installatio of th e materials.
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OWNER/CONTRACTOR'S SIGNATURE
STATE OF FLORIDA
COUNTY OF
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e ore me t s - yo, __9 y, c=; c-..:' ::"~', "IT-""" ~_. "~ T H · D
Lttç.;..eJt U y~ , who is personally - ',.j <......,'.,; -.I -~- Î
know t me or who has Produc~. . _,', 1. : ;~,'( u ~ ZOO 7 II
\, . as Identification;, ~__ -1. \¿1 \Q.,f' 0 :
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STATEOFFLO~ ..
COUNTY OF g-, ( ~J>I CL i 0
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. The foregoing instrument was acknowledged M'
before me this _ day of , 20_, by
-: t wbo is personal1y
known to me or who has produced
as identification.
COmmission No.
(Seal)
Comm.ission No.
MARIE J YATES
i~Jotary Public, State of Aorida
SipACUte of Nottr)'
Type or Pnl1l Name of NOIaIy
No Faxed Copies, Only Original Notarized Copy wiU be ace
Cm) revl~d i/Jil2ltJ7
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