HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
® 2300 Virginia Avenue
® p Fort Pierce, FL 34982
=- _- - - -- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#_
�i
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 S�hqI did personally inspect the roof deck nailing
(D te)
r
work at:
(Job site address)
Bas upon t examinati I have determined the installation was done according to the current
e (tion o F orida E ' tin Building Code Section 611 or the product approval submitted (whichever is
osts ' et .
CCC-058011
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 1�
Swor to and bscribed before me this_ day of 01A 20
by Who is personally known t6 me or who has produced
as identification.
Notary Public,State of Florid K2
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
;.•N Y';:;;•., CASEY FRENCH
1� Notary Public-Slate of Fion, !
' Commission#GG 1t::;.)•`•''
1 r oar My Comm.Expires
Bonded through National Nma!y,%sn. ,
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