HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Dev ry ces
BtAldingA,,CodeA*e Wation Division,
9
230OVIr'jnla,A g 1ven.ue
Fort Pierce, FL'34982
772..462-2165,or 7721.462-2172
Fax: '772-462-6443
ROOF 1140kTION.APPIDAVIT
Re: Permit # 171 M,629
- KYLE - WHITE. licensed aszi(0)Cohtrac-tot*/Ehglhedr/A.,'t6hit6ct.
(Please print name& -circle licensetype) *F9468Z did' 'I'spe. 'Jdtbt� di Ing n
*Oeneral, BL!ttdlng,'I?gstde;zf alorRooflng Ontractorornny individual certified urfder46&f.S. to make sdchdn inspettlan,
on or about: 1'2/18/2017 4, did personally inspeathe roof deck nailin_g
(Date)
work at '5024 SUNSET BLVD., El MERGE
'(Job site address)
Based upon that
edition of the F ' k
moststrigentLo
I Seal
-STATE FLORID OF FLORID
.
A
.
COUNTY OF - STLUCI.E...
I have determined the in_s'tallat.io.n:w.asOoneiac.cording to the current
B Uklcli , nig!Cddo, S"edion 611 ortlie product approval suber ittod (Whichever is
OCC 1325895
Liten-se #
swann-to And subscribed before I 9th, -day of DECEMBER 2017.
4V KYLE WHITE Whols-,personall'y, known'to rno-or who has `produced
as Identification.
AM" 7fl,
I
NW
9
Notary Public,Staie -of TIonda,
5S11 ..QV
Si nature of No a
_ry,
S
Commission Number.. ___F F 936050
En 01/19/2.01,1.
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