HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
COUN Y 2300 Virginia Avenue oceven
F L 0 R I D A Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#2M)
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 1123 1207M I did personally inspect the roof deck nailing
(Da e)
T
work at: 15tP-??) (21ecunjer Ove-ELNure
(Job site ad8ress)
Bas upon atexa ination have determined the installation was done according to the current
e tion of ori a E ' in Building Code Section 611 or the product approval submitted (whichever is
ost St t
CCC-058011
ure and Seal License#
STATE OF FLORIDA
COUNTY OF
S o t, and subscribed More me this e9 e�. day of
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Who is personally known to me or who has produced
as identification.
Notary Public,State of Fnicla
Signature of Notary:_
Commission Number: 'g, /t2 (Seal)
En 01/19/2011
CATHY J ROBERTS
Notary Public,State of Florida Commission ommission#GG 316785
My Comm.Expires May 10,2023
Assn.
Bonded through National-Notary