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_ Planning& Development Services
h r' 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, 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 � rJ `� I did personally inspect the roof deck nailing
(D te)
work at:'1 4%5r) dun nst ���I�.. •PierC�
(Job site address)
ased up t examin tion I have determined the installation was done according to the current
edition a lori' Exi ting Building Code Section 611 or the product approval submitted (whichever is
most
CCC-058011
Si ature and Seal License#
STATE OF FLORID
COUNTY OF
SW�to and bs ribed before me this � day of f 20 9
by('�.1_iES �,�,P� S ..Who is ersonally known to me or who has produced
as identificatio
Notary Public,State of Flori
Signature of Notary:
Commission Number: CASEY FRENCH
a Notary Public-Stale of Floritl:;
En 01/19/2011 •: » Commission#s Dec1611 2
s',��+ o� My Comm.Expires D 11,2(i[?
Bonded Through National NoLiryAssn.
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