HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning& Development Services
Building & Code Regulation Division
2300 Virginia Avenue
'Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Permit # 1'905?- 0(6-15
Christopher Collins
Please print name & circle license type)
SCANNED
BY
SK Lude County
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector
general, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
i or about f I did personally inspect the roof deck nailing
(Dat )
irk at: L0 410 C) f)i erCP
(Job site address)
ed upon a examinat n I have determined the installation was done according to the current
lition o FI rida Exis ng Building Code Section 611 o"the product approval submitted (whichever is
ost strOel
and Seal
'ATE OF FLORIDA
)UNTYOF S4-4-,sc��
CCC-058011
License #
rnr�to and subscribedjl�pfore me this day of +o-r— 20
I t,;,) I . Who is personally knowA to me or who has produced
as identification.
iry Public, State of FI ' a
ature of Notary:
emission Number:
01/19/2011
CATHY J ROBERTS
ue1 Notary Public -State of Florida
°- Commission 0 FF 221708
,o¢�;�' My Comm. Expires May 10, 2019
Bonded through National Notary Assn.
(Seal)
C Ne""' D
-4 ET
AN -.
S E P 18 2018
Permitting Department
St. Lueie County, FL