HomeMy WebLinkAboutRoof Inspection AffidavitAug 14 17,06:09p Collins Roofing Inn
7724S96505 p.1
Planning & Development Services
Building & Code Regulation Division
i 2300 Virginia Avenue
Fort Pierce,, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1 05?-02- -Z
I,1 lS C@Lc r v✓y , licensed as a{ ontractor* ngi nee r/Arch itect
(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 f Z2 D11 did personally inspect the roof deck nailing . q— A
(Date)
work at: / p 0 / 5 ye a%"- G'a es / /C a1
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editi o the Flori x' ing Bull g Code Section 708 or the product approval submitted (whichever
i ost s n
Signature and Seal License #
STATE OF FLORI A
COUNTY OF
S to a d subscri i�e 1 6 ore e this �_ day of 2Q�
b i . Who is personally known to'Me orwho has produced
:. i as ident' cation.
Notary u da ,l —
SignatureofNotary:J ;''•• :�'.; KA.i,'EN S. PILSEN
:, Co^+m cicr.t F=',5F-7
Commission Number:
En
RECEIVED AUG 14 2017
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