HomeMy WebLinkAboutRoof Inspection Affidavit 2017-05-23 13:06 j.a.ta) roofing . 772 468 8397 7724626443 P 1/1
Planning&Development Services
i` Building& Code Regulation Division f—j
2300 Virginia Avenue
Fort Pierce, Fl.34982
772-462.2165 or 772.462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re; Permit# 1704-0109
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 or any Individual certified under 468 F 5.to make such an Inspection,
On or about_ 05/23/2017 . 1 did personally inspect the roof deck nailinfz
(Date)
work at: 111 QQ HEIL ROAD, FT
(job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the FI FSJ n Building Code Section 611 or the product approval submitted (whichever is
mos rVe
CM 325895
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to and subscribed before me this 23rd day of MAY 20 7
by KYLE WHITE Who Is personally known to me or who has produced
as identification.
J1i111j
Y M! '
Notary Public State of Florida
Signature of Notary: • tiyS5f0NF:F'✓ '
PF 93605 G0 .0
or Is ��';
Commisslon Number;
--- ,,.., (Seal) • a
En 01/19/2011
• ��f 930050
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RECEIVED MAY`Zi.3 2017