HomeMy WebLinkAbout2012-0533 affivPlanning & Development Services
lj. _ - Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2166 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 2012-0533
I, KYLE WHITE licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor orany individual certfed under468 F.S. to make such an inspection.
On or about 01/21/2021 1 did personally inspect the roof deck nailing
(Date)
work at: 5108 HICKORY DRIVE FORT PIERCE
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strripigge�ent)).�.
/ lam- CCC1325895
Signature and Seal License #
STATE OF FLORIDA
COUNTYOF STLLICIE
Sworn to and subscribed before me this 215t dayof JANUARY 20 21
by KYLE WHITE Who is personally known to me or who has produced
as identification.
Notary Public, State of F on
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ASHLEYHEUER
Signature of Notary:
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C—Is*pn A HH 079M
Commission Number: HH OT9
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En 01/19/2011