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5 - ]7,- _ - Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 2101-0279
I, KYLE WHITE licensed as a(n)Contractor*/Engineer/Architect
(Please print name& circle license type) *FS468 Building Inspector
*General, Building, Residential oritoofing Contractoror any individual certfed under468 F.S. to make such on inspection.
On or about 01/27/2021 1 did personally inspect the roof deck nailine
(Date)
work at: 3303 AVE K. 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 strigent).
Signature and Seal
STATE OF FLORIDA
COUNTYOF STLUCIE
CCC1325895
License If
Sworn to and subscribed before me this 27th dayof JANUARY 2021
by KYLE WHITE Who is personally known to me orwho has produced
as identification.
Notary Public, State of Florin—
SignatureofNotary:
Commission Number: HH 078 8 (Seal)
En 01/19/2011
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ASHLEYHEVER
Commissio0HH079388
Expires January 11,2025
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