HomeMy WebLinkAboutRoof AffidavitMill Planning & Development Services
S _ j, _) j : Building & Code Regulation Division
2300 Virginia Avenue
EL UOU41
r Fort Pierce, FL 34982
772.462-2165 or772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 2012-0571
I, KYLE WHITE licensed as a(n)Contractor*/Engineer/Architect
(Please print name& circle license type) *FS468 Building Inspector
*6enend, Building, Residential or Roofing Contractor or any Individual certified under 468 F.S. to make such on inspection.
On or about 01/26/2021 1 did personally inspect the roof deck nailing
(Date)
work at: 9406 POINCIANA CT FORT PIERCE
(lob 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 strigent).
'1�(�(// CCC 1325895
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to and subscribed before me this 26th dayof JANUARY 2021
by KYLE WHITE Who is personally known to me or who has produced
as identification.
Notary Public, State of lord��,, ..��,,��
Signature of Notary: (/�/�,( 1✓\ ,
Commission Number: HH o79 8 (Seal)
En 01/19/2011 M�'*W� ASHLEYHEUER
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% a* Expka Jmu&y 11, 2025
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