HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
230.0 Virginia Avenue
Fort Pierce, FL 34982 SCANNED
772-462-2165 or 772-462-2172 BY
Fax: 772-462-6443 fig° Luve cou
ROOF INSPECTION AFFIDAVIT
Re: Permit # i 5Z-1- 0!n!3
1, Christopher Collins , licensed as a(n 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 2-0 ( I did personally inspect the roof deck nailing
(Da }
work at: 2q�j- 4. 39- ^ ` ! 1 r , R P1 Q YcP.
(Job site address)
pon Xlha,,6mination##e determined the installation was done according to the current
ja Exis u ding Code Section 611 or the product approval submitted (whichever is
CCC-058011
JE OF FLOR A
UNTY OF
to and subscribed before me this I `i day of 20_�&
wUt 14 RgA-C-k Who i ersonally mown t m or who has produced
as identification.
itary Public, State of Florida &1ti
nature of Notary: mmiNumber: (Seal)
01/19/2011
AUG 14 2018
d,tL:.' hq— I).. P,..11 6!4:LI Id.
St'. �_. �Ce Co n-,F FL
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CASEYFRENCH
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Notary Public - State of Florida
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Commission # GG 16,7258
My Comm. Expires Dec 11, 2021
Banded through Nat oral NolaryAssn.