HomeMy WebLinkAboutAffidavit; Aluminium Structures Being Placed on Existing Concrete Slab`S ��" ,J'� •�-: '•. , . .. ST,;LL'CIE. COI,�r'T'Y
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AFFIDAVIT
Aiumin.un Structures,Being Placed on
Existing Concrete •.S lab
Permits Ske Address; i gi�'� �.��St
Contractor.,Q iO1.� �: 21� ._ Homeowner: ' W
All footin$s'arid;slabs.beina used for the re -construction of structures must meet the current
specifications.of the engineer of re'cord.or current design manual being used. If a 4" concrete slab is..approved by
an engineer or design manual; signatures are requireci,as stated.below. ;
I the Contractor have verified that the existing concrete slab is a minimum 4! "thick and is -in fair
condition to withstand,` the. weight of the aluminum structure, By'signing this affidavit;'the contractor and
homeowner release St Lucie County :of ;any liability or responsibility related. to•this'project
I the owner have been made aware of this and have full knowledgc;and understanding of the above information.
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Janose E Dageta
CONTRNCTOR s \�'►l y Commissionpp�9121 O1Y�ER S :�A.1E
oa : Expires May ,®, 2007
CONTRACTOR'S SI :\ l un D,-%1'E OWNER'S SiGSA R DATE
Janese E Dageta
T.Vt1` PI:OLIC:'S :�`I'E OF t L. a My`CommissionDDl9121k vTAftl Plll3LIC ST \fiE OF FL."
o, Expirep May 16, 2007 t3 g
a OCONTRaCi'0R P 1 00\1
PERSON aLLI h�O1\ \ -,PERSON.-,. LLY hN01ti \ '
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PRODUCED ID ('ROnI�CED I1)
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