HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
Christopher Collins
(Please print name & circle license type)
licensed as a(n)Contractor*/Engineer/Architect
*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 01 1 1 did personally inspect the roof deck nailin
M te)
work at: 1_¢ I4c�I.��i VQ._, . Fi__
L (Job site address)
most st
pon that minat
of thloficla Exist
nd Seal
STATE OF FLORI A
COUNTY OF WCC�9�
have determined the installation was done according to the current
uilding Code Section 611 or the product approval submitted (whichever is
CCC-058011
License #
Swor to and subscribed before me this l day of (nU 20
by C- . who is personally known to me orl who has produced
as identification.
Notary Pubfic, State of Florida
Signature of Notary: 1;1,
Commission Number: (Seal)
En 01/19/2011 Rebekah Hoy
NOTARY PUBLIC
STATE OF FLORIDA
*6.
CwvT* GG294610
Expires 211712023