HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSCA NNEjQ,
P ,,!fn A.Developm entSer ice v s.
n�;Wlodo ftgulation'Div. !Sion
;2300 Virginia. Avenue
Fort Pierce, FL 34992
7724624165 or 7724624172
'Fax:. 772-462-6-443
OF IN PECTION AFFIDAVIT'
'Re, Permio- 1604-0307
KYLE' T-E. I ,licensed as.a(h)Coftttaittot*/Enginger/Archifect
(0,16,ise, print harne& circle license typO F5468,Building Inspector
*denerdl; Burl Reildentlalgor Roofing C a
b tractor orvnyindivld6al cetafted qn4qr464.FtS, (o.Make. such an 41speetion
On or about t did personally "rispect't . he roof . deck nailing
(Date')
wdrkat- 10619 PINE NEEDLE DRIVE.-fORT PIERCE.
:(Job site address!
Based Upcdri;that ekahiination I,havq n cleteT_r current
edition df,the'Florida Existing Building to&S'ectibhi 61-1 o, brthe. product approval submitted, is: strigenf
,�_ �1' Jwhic�hevo ls CCG132599.5..
.sianature �and'. Seal License-#
STATE OF FLd.R.IDA
cb-UNTYOr tTLUCIE_
Sworntoands bteribddbeidre.-methis 29th day -of 'Mk
- , -_ L! - . Y 2018
by KYLE VVHITE, Who is person ally-1nown td i1i 6 who r. o,
as Identification.
Notary Public, State.of Florida
Signaiure,of Notary. -I''
'Commission Number:, _FF.03t6M.
Eff01/19/20111,