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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 # 2101-0580
1, Christopher Collins licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any Individual certified under 468F.S. to make such an inspection.
0n or about 02/15/2021 1 did personally inspect the roof deck nailing
(Date)
work at: 5211 Silver Oak Dr., Ft Pierce FL
(Job site address)
Ba d upo at xamination have determined the installation was done according to the current
dition the FI rida Existing wilding Code Section 708 or the product approval submitted (whichever
ism t n .
CCC-058011
d eal License #
STATE OF FLORI '��
COUNTY OF IVVJ�
Swo o air s bsc�b d before me this � day of 2R,L
by l/i ( Who is persona�n to m or who has produced
as identification.
Notary Public, State of F ''""' ., BELINDADARCEN
Nolary Public - Slate of Florida
Signature of Notary: : 1: Commission # GG 169025
x�res
Commission Number: +i Y omm ec (Seal)
En