HomeMy WebLinkAboutRoof Inspection Affidavit Planning& 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#
l� Christopher Collins , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Ro ing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 1 1 did personally inspect the roof deck nailing
(Date)
work at:
Jobs she address)
sed upon that x m2nIetermined the installation was done according to the current
edition of t or' a E Code Section 611 or the product approval submitted (whichever is
most str'
CCC-058011
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF f;4- L L)Gi e_ )
Sworn to and subscribed before me this�day of r,I 20L7,
A . Who is personally known to me or who has produced
L as identification.
Notary Public,State of Mricla
Signature of Notary:
Commission Number: / � (Seal)
En 01/19/2011
��•s;)`r'P�e,� J CATHY J ROBERTS
Notary Public-State of Florida
•, Commission#FF 221708
,7z' My Comm.Expires May 10,2019
�'' O��.+�'• Bonded through National Notary Assn.