HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
C 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# I CI 61
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 01 ( I I did personally inspect the roof deck nailing
(Date) .
work at: I Z02= P-pnc-7o�--cda -IR e f-rc 1
(Job site address)
B ed u n Alt exams I ion I have determined the installation was done according to the current
ditio of th orid isti g Building Code Section 611 or the product approval submitted (whichever is
most
/ CCC-058011
i and Seal License#
STATE OF FLORIDAs
COUNTY OF
Swo toa d s bscrib d fore me this PAdav of 20g
by 1 ;I��ts �� fA Who is personally known o me or who has produced
as identification.
i
Notary Public,State ofIV7.
�ELINDADAMEN
Signature of Notary:
NotaryPubrCc-stateofFlorida
Commission Number: _�. Commas Doc18,2021 (Seal)
�`�•`,` t�st;dad Ih�ough Nguonal NolaryAesn•
En 01/19/2011