HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
Building& Code Regulation Division
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a ® Fort Pierce, FL 34982
-462-2165 or 772-462-2172
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,moi?E��11� �.T.it •:; _�:,•..�
ROOF INSPECTION AFFIDAVIT JUL 25 2U.111
P1 RN]1-17jI!G
St. Lucie Couniv, FL
Re: Permit#
I, 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 -� I ZI ZC)��_, I did personally inspect the roof deck nailing
(Date)
work at: -70-�-�'f-CkC
(Jo site address)
sed upon th a mination I have d termined the installation was done according to the current
edition of t da Existing B ' i Code Section 611 or the product approval submitted (whichever is
most s ri
CCC-058011
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF S r4 u Cee T
Sworn to and subscribed before me this�5 day of J kA I 20_D
by (,h654r,,j2Ltr / '&S. Who is personally known tome or who has produced
D L as identification.
Notary Public,State of F,teSida (,
Signature of Notary:,Commission Number:Number: O(0 Wa 5 (Seal)
En 01/19/2011
t iv i�;'•• PHILIP DASCH
NotaryPublic—StateofFlorida
•: :• Commission#GG 106425
�i My Comm.Expires May 18,2021
Bonded through National Notary Assn.
i
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