HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
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 # 1710-0630
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.S. to make such on inspection.
On or about 12/04/2017 , 1 did personally inspect the roof deck nailing
(Date)
work at: 4076 JOHNSTON RD, ET PIERCE
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florid E ' g Building Code Section 611 or the product approval submitted (whichever is
mos tr-igett
CCC 1325895
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to and subscribed before me this 4th day of DECEMBER 2017
by KYLE WHITE Who is personally known to me or who has produced
as identification. �p111111111111//��
Notary Public, State of Florida ^ m ^ A
Signature of Notary:
Commission Number: FF 936050 (Seal)
En 01/19/2011
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