HomeMy WebLinkAboutRoof inspection aff ,Planning 4 Devefi pment Services
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5 Building&,Code Regulation Division
2300 Virgginia Avenge
• Fort Pierce;FL 34982MIME
772-462-2165 or 772-462-2111
Fax: 7,72-462-6443, .;
'':ROOF INSPECTIONAFFIDAVIT
Re Permit# 20 -
1, Christopher Collins licensed as a(n)Contractor*/Engineer/Architect
(Please print nasne;$c circle license type} *F54F8 Building inspector
*General Building,Residential or Roofing Contractor or any indtviduot certified under 468 F.S to make such-an Inspection.'<
On orfabout {0 2020- l did personally inspect the roof deck nailinx
(Date)
or
(Job site.address)
Bas upon th xa inatipn i h ire determined the installation was done according to the.current
�tion of orid Existing Bu ding Code Section 611 or the product approval submitted(whichever is
most str` }:
CCC-058011
sgnatu and Seal License#
s
STATE OF FLOR w
COUh!'r4:oF '
94IX CA
SWOM and su cribed before me this day of Zpo2Q
�-
by S: tN�f ersonally known toxr�e r yrho has,produced
as IdentiScat n.
Notary Public,State of Flori
Signature:of Notary:
ConimiianNumber: s
� , at ctta
. .
�i4 20d1
s e cormP
En 03 29 011
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