HomeMy WebLinkAboutRoof Inspection Affidavit 2017-01-10 12:56 . j.a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
Planning&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# 1701-0079
1, KYLE WHITE .licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roafing Contractor or any Individual certified under 468 F.S.to make such an inspection,
On or about 01/10/2017 , 1 did personally inspect the roof deck nailing
(Date)
work at: 3730 AVENUE N, FORT PIERCE
(Job site address)
Based upon that examina ' have determined the installation was done according to the current
edition of the Flo ' is in Building Code Section 611 or the product approval submitted(whichever is
most si
CCC1325895
Signature and Seal License#
STATE OF FLORIDA
coUNTYOF ST LUCIE
Sworn to and subscribed before me this 10th day of JANUARY
_20 17
by KYLE WHITE Who is personally known to me or who has produced
as Identification.
`\`����1�� r."/
Notary Public,State of Florida `��� ts�sSioNC§"I",
Signature of Notary: :� �yor 1S �a�•.
Commission Number: FF 936980 (Seal)
En 01/19/2011 UFF 836050
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