HomeMy WebLinkAboutBlack and White0003Re: Permit# 1910-D-2
Planning & Development Services
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
RECEIVED
NOV 0 4 20A
ST. Lucie County, Permitting
l 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 e 1 did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
pon th t minati I have determined the installation was done according to the current
of th rida Existing uilding Code Section 611 or the product approval submitted (whichever is
CCC -058011
�1 gnature and Seal License #
STATE OF FLORIDk1��
COUNTY OF
Swor/nn, to and subscribed before me this H day of N 0 4 20 ('q
by Qn n S O'.o\Gv. S Who 1 ersona ly known to me or who has produced
as identifica ion.
Notary Public, State of Florida
Signature of Notary:
Commission Number: •Z (Seal)
En 01/19/2011
=NN1
bd�t,YFRENCH1."\ ic-Stale of noddy •on p GG 167250v, xpires Dec 11.2021•�"�h Nafiaml NoUry Ann.