HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
f'- Building&Code Regulation Division
2300 Virginia Avenue
o P Fort Pierce, FL 34982
- - 772-462-2165 or 772-462-2172
Fax: 7727462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED
SEP 0 %r�3
ST. Lucie county, Permitting
Re: Permit# ISM GLOS
1, Christopher Collins , licensed as a(n)Contractor*/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 I (,P (� , I did personally inspect the roof deck nailing
(Date)
work at: 31-29 L I nd 0. U I Sa Piv2.-.(:+ 'wr�
(Job site address)
a5ture
xamination I ave determined the installation was done according to the current
rida Exi g uilding Code Section 611 or the product approval submitted (whichever is
CCC-058011
and Seal License#
STATE OF FLORI
COUNTY OF
Sw9� to ands scr•bnned�,be•fo�^re me this da of 201
by( '�'W 7TH C�/J Who i personally known to me who has produced
as identific *on.
Notary Public,State ofor• a
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
CASEY FRENCH
: ! •'.����`= Notary Public-stale of Florida
Commission#GG 167258
My Comm.Expires Dec 11,2021
Bonded through National Notary Assn.