HomeMy WebLinkAboutRoof Inspection Affidavit2017-11-13 13:22 j.a.tay roofing 772 468 8397 7724626443 P 1/1
Planning & 4]eveloprrient Services
�i
1� _ Building & Code Regulation Division
1:" 2300 Virginia Avenue
r Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772=462-6443 . •
ROOF INSPECTION AFFIDAVIT ,
Re; Permit # 1709-0150
IJ XYLE-WHITE , licensed as a(n)Contractor*/Engineer/Architect
(Please Print name & c'ircle license type) *F$468 Building Inspector
*General; eulldlnfll iRes)dentlolior Roofing �dntraetorlor nn�lnNlvldualc�rt/fleid'Untler 46B F.S. to make such an Inspection.
On or about ' -11 /13/201.7 " � , I itlid personally inspect the roof deck _n_ ailing
(Date)
work at: 466 SUNRISE DRIVE. ET PIERCE
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of th rida Exis ' Building Code Section 611 or the product approval submitted (whichever is
mos nt),
CCC1325895
Signature and.Seal License #
STATE OF FLORIDA
COUNTY OF ST LLICIE
Sworn to and subscribed before me this 13th day of NQVEMQFR 2017,
by KYLE WHITE Who Is personally known to me or who has produced
as Identification,
Notary Public, Sta
Signature of Nota
Commission Nom
En 01/19/2011