HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
7, 72-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT 018
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Re: Permit #�C�"
I� Christopher Collins I , licensed as a(n Contractor* Engineer/Architect
(Please print name & circle license type) I *FS468 Building Inspector
*General, Building, Residential or Roofing
g Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 12LZ61� I did personally inspect the roof deck nailing
(Da e) (�
work at: Pens 1 a ' AVC , Pyexcf
(Job site address)
I
sed up o that ination have etermined the installation was done according to the current
edition f t ri Ex' E5uil ng Code Section 611 or the product approval submitted (whichever is
most tr'
CCC-058011
Signat-and Seal icense #
STATE OF FLORIDA
COUNTY OF S f GLJG`e
Swoj�° and subscribed b fore me this day of 0 r- 1 20_L�—
Who is personally known tome or who has produced
as identification.
Notary Public, State of Florida,/)
Signature of Notary: —��J�y_ 6
Commission Number: ! I' al o (S I)
7Bonded
THY J ROBERTS
En 01/19/2011 .`1� pea
r° ublic - State of Florida
Commission # FF 221708
. Expires May 10, 2019
ough National Notary Assn.