HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
71f Building& Code Regulation Division
2300 Virginia Avenue
OUNT Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 2 0Z-b 2
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 O2 21 202-0 , 1 did personally inspect the roof deck nailing
(Date)
work at: 1 1 3
(Job site address)
Bas upon t t e amination I have determined the installation was done according to the current
e ' ion of e o ida Existing uilding Code Section 611 or the product approval submitted (whichever is
ost str'
CCC-058011
(gnat d Seal License#
STATE OF FLORIDA
COUNTYOF SL �LJC-iE—
Swom to and subscribed b9fore me this, day of �� ���.�`>— 20�
by C-F6 1 f,o,s. Who is personally known to me or who has produced
as identification.
Notary Public,State of Flori
Signature of Notary:
Commission Number: C�o (Seal)
En 01/19/2011 — -
Rr v� CATHY J ROBERTS � a z (
��`ll•,�•: Notary Public•State of Florida
Commission N GG 315785
My Comm.Expires May 10,2023 FEB 2 2C20
Bonded through National Notary Assn. r�
i—�'i iiiil. CtIn ent
St.
g s