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Planning& Development Services
�- Building&Code Regulation Division
® 2300 Virginia Avenue
c o
Fort Pierce, FL 34982
- — - 772-462-2165 or 772-4 7f
Fax: 772-462-6443 'C E IV E D
OCT 2 4 2012
ROOF INSPECTION AFFIDAVIT
Permitting Department
St. Lucie County, FL
Re: Permit#
1, Christopher Collins , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
j *General,Building,Residee�ntil'2-
I or R ofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about (U 20 I did personally inspect the roof deck nailing
(Date)
work at: Ell HII.L. bwtcl�
f�'
ob site address)
jitionkofthda;Existiiinil
ve etermined the installation was done according to the current
t ng Code Section 611 or the product approval submitted (whichever is
CCC-058011
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sw r to and subscribed before me this�day of dC� PC 20L2
b 40C.,,IffA'r Who is personally known tome or who has produced
as identification.
Notary Public,State of I rids .�•�R';p CATHY J ROBERTS
Signature of Notary: 'Y ° `` Notary Public-State of Florida _
Commission Number: cs (Sea. ; Commission#FF 221708
My Comm.Expires May 10,2019
En 01/19/2011 Bonded through National Notary Assn.