HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building&Code Regulation Division
2300 Virginia Avenue
T LL o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: 'Permit# 5?(j!2-AZ 2
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 did personally inspect the roof deck nailing
(Date
work at:
ob site address)
Bas d upon that m' ation I have termined the installation was done according to the current
e ition of the id Existin 'di Code Section 611 or the product approval submitted (whichever is
ost strig
CCC-058011
Signature an eat License#
STATE OF FLORID/
COUNTY OF ��—
Swofq to ands scr' d before me this day of 20 1 g
by (.!JAS i Who i ersonally known to a or who has produced
as identification.
Notary Public State of Florida (� 054'i
CASEY FRENCH
Notary Pblic-Stale of Florida
Signature of Notary: • Commission#GG�16725B
Commission Number: My Comm.Expires Dec 11,2021
( Bonded through National Notary Assn.
En 01/19/2011