HomeMy WebLinkAboutRoof Inspection Affidavit RECEM-7D APR 2 ,) u174
_ Planning& Development Services
&don;
�`` Building& Code Regulation Division
2300 Virginia Avenue
® Fort Pierce, FL 34982
- - - - - - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
FILE COPY
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1164 -ay;DZ
l� Christopher Collins , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
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*General,Building Residential or Roo ing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about Zb Zb�� I did personally inspect the roof deck nailing
�(/Da'te)
work at: 520
(Job site ad re�—
Bas upon that mination I ha a determined the installation was done according to the current
ition of the ida Existi ding Code Section 611 or the product approval submitted (whichever is
most strig
CCC-058011
ignature and Seal License#
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STATE OF FLORIDA /
COUNTY OF S c r'.
bwor�to and subscribed bgfore me this day of �1 20L2
y((�'�n ri:5 ,ohPt ✓a/�,i�S Who is personally known to me or who has produced
�L �L as identification.
Notary Public,State of rida
Signature of Notary: !0
Commission Number: (Seal)
En 01/19/2011
, e� CATHY J ROBERTS
:?, o: Notary Public-State of Florida
° Commission#FF 221708
"�0;�OP My Comm.Expires May 10,2019
Bonded through National Notary Assn.