HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITT
Planning & 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-# ] go - 0122
3hristopher Collins
ase print name & circle license type)
SCANNED
BY
St. LudeCountv
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector
* eneral, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
Q i or about JC �� I did personally inspect the roof deck nailing
it
(Date)
fork at: �0.t + � s t.4A
�� .(Job site address)
,d u/en
rnination hav determined the installation was done according to the current
lition r' a Exi 'n uil ing Code Section 611 or the product approval submitted (whichever is
ost st
CCC-058011
Seal License #
"ATE OF FLORIDk j ` �e_
3UNTY OF t l�A r� �r
von Ito and subscribed 4efore me this v day of 20
l t iVl.lt L�Q.L <.A—o Who is ersonally known to m or who has produced
as identification.
)tary Public, State of Florida
"""' CASEYFREN�CH
rnatureofNotary:
(
. ^`�: ; Notary Public - Staleol Florid
a7. ; f�`� �V�; Commission #s 728
502
Immission Number:
( D c 11, t
My Comm. Expires Dec 11,
Bonded through National Nolary A%,,j
01/19/2011
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