HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITM
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Inning & Development Services
ilding & Code Regulation Division
00 Virginia Avenue
rt Pierce, FL134982
2-462-2165 or 772-462-2172
K: 772-462-6443
Re: Permit # 18d3-04'I
1, Christopher Collins
(Please print name & circle license type)
*General, Building, Residential orRoof7ngContractor orany in,
On or about 04 CH 2017 I did per
(Date)
work -at: 1411 (0
(Job site ai
B ed upon th xa !nation I hav determine
edition of th . r'd' Exis uiId. g Code Sei
most stri
STAf E OF FLORIDA J ,
COUNTY -OF cS'� iWCI'e
Swo toartdsub ibed before me this 1 day of
.
by Who is personally
qtl-) 9— as identification.
Notary Public, State of Floiti
Signature of Notary:
Commission Number:
En 01/19/2011
RECEIVED
APR .0 4 7010
Permitting Department
St. Lucie County
licensed as.a(n ,+Goner ctor* Engineer/Architect
*FS468'Building inspector
certified under468 FS to make such an inspection.
inspect the. roofdecknailing
, er e�F.L
ress),<
the installation was?done according to the current
on'611 or the product approval submitted (whichever is
CCC-058011
ce
J
to me or who has produced
DiNAHGCUSHMAN
Notary punc - State d Fonda
• Comm!Wont00076551
(Seal)AtyCommEapJzsFeb:r
Y+:t
�ODwa & dr.^a.hh,. OlbX2'tvt
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