HomeMy WebLinkAboutRoof Affidavit n_ 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
Re: Permit# W01' ('�1�Z�
I, Christopher Collins , licensed as a(n)Contra ctor*/Engi nee r/Arch itect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about QZ 0 2-02D I did personally inspect the roof deck nailing
(Da e) 1 -
work at: 55OS 5
(�1rQl �J r i
(Job site address)
B ed upon at ination I have etermined the installation was done according to the current
clition o th i a Existin uildi g Code Section 611 or the product approval submitted (whichever is
most ri n
CCC-058011
�I
Signat a Seal License#
STATE OF FLORIDA /
COUNTY OF SSS
Swoff� and s bscribed bore me this L/ day of e- 20,C
by s rsonally known to me. Who is Qeor who has produced
as identification.
Notary Public,State of pr4rida
Signature of Notary:
Commission Number: G ?,f I— (Seal)
En 01/19/2011
:.tier"au''• CATHY J ROBERTS
Notary Public-State of Florida
Commission A GG 316785
My Comm.Expires May 10,2023
Bonded through National Notary Assn.