HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
ILI I
Building&Code Regulation Division.
2300 Virginia Avenue
'COUNTY,G Fort Pierce, FL 34982
IT iL Jo IR I iD A
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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 468F.S.to make such an inspection.-
On or about 5 h 3 1 F� I did personally inspect the roof deck nailing
(Date)
work at: [,(mD Coi_55fq N �F4 ,V)er _
(Job site address)
Based pon that a ination I ave determined the installation was done according to the current
edit' n of the on a Exi g B ilding Code Section 611 or the product approval submitted (whichever is
m st stri e
CCC-058011
�nd Seal License#
STATE OF FLORID
COUNTY OF
Sworn to and subscril this day of 20jj
I 9e
by Who 11A Who is personally known to me or who has produced
LIM) as identification.
Notary Public,State of Flor
CASEY D FRENCH
Notary Public-State of Florida
Signature of Notary: &LI J_". C -
My Comm.Expires Dec 1,2017
Commission Number:&%Q,?Tff/�_�
Commission #,FF 069924
'on '7 "'u
Bonded Through National Notary Assn...
En 01/19/2011