HomeMy WebLinkAboutRoof Affidavit 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# 1
I, Christopher Collins , licensed as a(n Gon 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 an inspection.
On or about '92-116'
92 1d1 did personally inspect the roof deck nailing
(D te)
work at: to HoA,-vy11Y(1 V� •,�FoWRm 9L
(196 site address)
sed upon t amination I ve determined the installation was done according to the current
edition of Fl ida ' ting ilding Code Section 611 or the product approval submitted (whichever is
most s I n
CCC-058011
Si ma artd Seal License
STATE OF FLORIDA
COUNTY OF
Sworn and s bscribed bef ire(�e this_�day of 20
by Who is personally known to me or who has produced
VQL4 C' Zl l laCtlb?, O as identification.
Notary Public,State of 61a
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
Y+PU CASEY D FRENCH
oiote °� Notary Public-state of Florida
My Comm.Expires Dec 1,2017
°o; Commission #FF 069924 G+
nal Not
Bonded Through Natioa+Assn.k
�ryIIIIP