HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITRe: Permit# 1204- 2 03
Christopher Collins
(Please print name & circle license type)
*General, Building, Residential ctor or any
On or about I did pf
it Services
tion Division
U-2172
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MAY 0 9 2018 1
ST, WOO Q;wnty, Permitting
licensed as a(nf,@"@
2��Engineer/Architect
*FS468 Building Inspector
certified un der 468 F. S. to make such an inspection.
onally inspect the roof deck nailing
work at: I d -Y , 1-11 1 - I I U C -V-- I
Job site Adress)
Bas upon t aminat' ha determined the installation was done according to the current
ition of rida Q Iding Code Section 611 or the product approval submitted (whichever is
most st
CCC-058011
a al
STATE OF FLORIDA
CO U NTY OF S+ 1- 06
Sworn to and subscribed before me this C?q-h day i 'lof JVLJ 20_ff
by e—hdS- er Cb 111jiS. Who is persona,ly known to me o"r who has produced
_PeC,4q0j%j2 lite kno kj 11 as identification. I
t4 I
Notary Public, Stat of Flo 'cla MARTHA SCHURMA101
e
Signature of Notary: MYC01VUSSION#FF194775
Commission Number: &P ?f— 175- (Seal) t"W"sm
EXPIRES: February4,2019
Bonded Thru BLdget Notlry seivim
En 01/19/2011