HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITP 'I'hning."&"Developmerit:Serviic-es
Building &.Code Ft , e1gulation-D fivision
2300VirgihiaMenue,
Fort,Aierce, FL34982
711462-4365 or-.46,242172
Fax: 771,462,64.43
WO.P:
OWNED
at Lucts Can V
Re: Permit-# 18,02-055.4.
KYLE WHITE. 0,/ 'it
(Please.,print' home &-ciroe.,licens,e-type)
i3eneiol,2WIding, Resideniial or,R6qfinjq,6ntroctor or -any Individual certif*dlun.der4,�B:F.,S..• tq:Mqke sdch,,ofi.jgspqc.t[,`
017i
On,dr,about Q 1201 R_ ,l did,oefsorialIV inispettthe roof, deck,na i ling.
.(Date)
wofkat: 23.20 SNEEDROAD,FORTRERCE
(Job site -address)
Based: upo'n'thtitexamination l,h6'v6determined the installation wa,s.dpq. .ne.ac,Aro.ii..ig:.t.o-'the,.-,.g,prren,t
edition of-the,Fl
or 4ExistinglB_Uifding� 6doSection 6ll..6'e-,t.'ho'pto'du"ct-approval :submitted :(.Whi6Kbv..eris
most s,tri
Signature and, Seal
STATE ."OF. FLORIDA
COUNTY,OF: %STIOCIE.
)CCC1325895
Lici.epse,-#
'Sworn' -to'and,subscribed. . befbre,methis 11-th day.,qF JANUARY zoA
by KYLE WHITE whq`-s personally oowrilb. me or who has produced
as identification.
Notary Public, State of F16ri.da-
Signat.ure,pf -Notary:
:Commission Number: FF936016&
.En 01/W2011