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Building & Code Regulation Division
2300 Virginia Avenue
* , M& Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2101-0577
I, Christopher Collins licensed as a(n)Contractcr*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 FS. to make such an inspection.
on or about 02/15/2021 , 1 did personally inspect the roof deck nailin
^ (Date)
work at. 5712 Raintree Trl., Ft Pierce Fl- (Main House)
(Job site address)
Bas tl upon t examination I ve determined the installation was done according to the current
e ition of eY4dr a Pxis,0Kg Building Code Section 708 or the product approval submitted (whichever
m
ature-Nn—d seal
CCC-058011
License #
STATE OF FLORIDA- r ,
COUNTY OF �j L
sw�tod ubscrKbefore me this - day of 4 201[
byWho is personally known to a or who has produced
�r as identification.
Notary Public, state of F gELINDADARDEN
Signature of Notary: 01 Fiorid�
Commission Number: mssicn N ;� 1s 2i (Seal)
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My Comm. Ndwna Nvi�ry+�sb"
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