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Planning & Development Services
- _ Building & Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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 did personally inspect the roof deck nailing
{D te)
work at: 0 V-�
(Job site address)
sea up that xami ion I have determined the installation was done according to the current
ditio oftnd�.�FridaEXistl g Building Code Section 611 or the product approval submitted {whichever is
I stt
and Seal
License #
STATE OF FLORIDA
COUNTY OF _, A I
Swor(rAo�`and ,suscribd before me this i � day of 20M
by �0�4v L�L'l, I 1 ✓� S Who is Dersonally known to me r who has produced
as identification.
Notary Public, State of Flori
Signature of Notary: ,;:'ir;'•... GASEYFRENCH
Commission Number: NotaryPublic-stateofFlond3
Comrnission # CC 161251s
' MY Comm Ex Tres Dec 11, 2D
En 01/19/2011 `':.'..!:: �^��Or'.gh IN ui Nu!ny Aav,
r3.
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