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- = Building & Code Regulation Division
gig 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2101-0576
1, Christopher Collins , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) OFS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 02/08/2021 1 did personally inspect the roof deck nailing
(Date)
work at: 109 Hilton Drive., Fort Pierce FI-
(Job site address)
examinati n I have determined the installation was done according to the current
rida Existi g Building Code Section 708 or the product approval submitted (whichever
is ytiost,I{tjiont).
re and Seal
CCC-058011
License #
STATE OF FLORIDA S)
COUNTY of
Sw�{{ to ���su , sc "bed before me this day of 2Q,j
by Nt-tt li'r' � viler_ Who is personally known to me r who has produced
as identi Ica
Notary Public, State of FI a
Signature of Notary:
Commission Number: ` N"''Ipl 6EUNDA0ARDEN (Seal)
- Florida
Commission GG 1 G9025
En '> My Comm Ecprres Dec 18, 2021
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