HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
t _ Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
o Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I� 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 468 F.S.to make such an inspection.
On or about t /2-7/1-7 I did personally inspect the roof deck nailing
(Da e) nn_
work at: 15Q�9 Q�IIQ 1r kQ'T R-'Px c�
(Job site address)
Ba d upon that amination I h ve determined the installation was done according to the current
ition of the a Existing Iding Code Section 611 or the product approval submitted (whichever is
most stri
CCC-058011
ignature and Seal License#
STATE OF FLORI A
COUNTY C 6�-a—e=
Sw n to ajd subssc iped before me this � � day o ' I 20J
by f (�o (L Who is personally no to me or who has produced
as id ' n.
Notary Public,State of Florida
Signature of Notary: „RYPO°,�, CASEY D FRENCH
Commission Number: 2 ?2�; Notary Public State of Florida
'IV I = My Comm.Expires Dec 1,2017
Commission# FF 069924
En 01/19/2011 Assn.
Bonded Through National Notary a