HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning.& Development. -Services,
Builft CWO Regulatf6h: Division
2300
, Virginia Avenue
For,t Pierce, FL 349921
772'-462-21.6,5 or 772-462I172
Fax: 777-402-64.43
ROOF: I INISPECTIONAFF1 DAVIT
SCANNED
BY
,le: Permit# 1811-0124 St Lucie County
1, KYLE WHITE licensed as.a(n)Cbntrktor*. Engine6'r/Architect
(Please print name & cirtle, lic6hsbtyPe) *FS46,8,,pectqr ,8qildlngJns I - *GenerqI, Building, %Residentiol or Rbofldg Contraetok,oiohyiA'dividu al
eet.,iitted-under 46$,-F.S eo,-makesuchonrihspec.tioni
On or about 01/09/2019 1 did personally inspect the roof deck.,nailing
(Date)
7203 OTRUSPARK BLvb.,,'FO'RT PIERCE
(Job site,address)
sed,dpon:thqt examination I have determined�the instal latl6rfwa's: d6m� bc6bMih td h''
I . - examinationI according;to
ition, of the Flo �r Existing Building.'Codesertion 611 orthe productapproVal submitted (whichever is,
L---.- QQQj 325 r &9-5
'Signature and Seal License,4
'ATE Or.FLORIDA
)UNTY OF St LUCRE
A/o.rn,-to and ,subscribed before 'mie'this 9th. day,of JANUARY 2019,
I KYLE WHITE WHo is personalfq knoWn to me orwho has produced
as identificatfoh;
otary'PUblic; State of F1 , &Ida
gnatute,of Notary,-
mmlssidn.Numbdr: FF,93605a, (Seal)
0.1119/201.1