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JUN-06-2007CWEO) 07:36 ROOF CONCEPTS
Con tractor
CFAX) 7723447259
P.002/002
Residential Roof DrY-in Affidavit
St Lucie County, Public Works DepårtInent
Code Compliance Division
Owner's Name
CQus
d
C C~ ,(2.
Contractor's Address C9 { SlJ' &narrt ·'V~/ ;<~ n,
' , , cIf<?:j3
I certify th'at: Th'e required ;Lapping and Fasteners of the underlaYlUent
(roof felt); ,hot IDOp, if reqUired and flashing have been instaHed in
accordance with Chapter 15 of the FJorida BuiIdiD.g Code and Chapter 9 .
of the Florida Building COd'e, Residential with approved revisions and
meet the requirements of the product approval.,
!2
3-¥957
I nnderstand that by executing this Aftidavit'I hereby relieve St Lucie
County of any liability 'With respect to ,the ÌDstallation of these materials.
I'
HOMEOWl\ŒR's SIGNA11JRE
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ST A IE OF FLORIDA
COUNTy OF .sf- ,<it! (e
STA TE OF FLOR~Lú.l'Á..LJ'
COUNTy OF _0
No Faxed Copies"
CO:tnInJssion No.
CmJ J'I;~L1od 1117/1007
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EXptrtþ~ 08/1312010
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