HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
u�.t Fort Pierce, FL 34982
. 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
,,.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 011 U1 I 7 7-b I did personally inspect the roof deck nailing
(Da )
work at: C'�C.7) r0�.�1(1n �� •,�—� �1 P��'� .
r
(Job site address)
ased upo xaminati I have determined the installation was done according to the current
edition ePo ida E ' tin Building Code Section 611 or the product approval submitted (whichever is
most i ent).
CCC-058011
gna a nd Seal License#
STATE OF FLORIDA
COUNTY OF
Swo and subscri ed before� e this -7 day of �,-r o-y- 20_j
by j-r 60A Who is personally known to me or who has produced
as identification.
Notary Public,State of FI i a
Signature of Notary:
Commission Number: 3 A, (Seal)
En 01/19/2011
CATHY J ROBERTS
?°• 1�� Notary Public-State of Florida
Commission#GG 316785
'EOFr�°°' My Comm.Expires May 10,2023
Bonded through National Notary Assn.