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 SCANNED
Sk Lucie (C
Re: Permit # 1 12 1 b r
I� Christopher Collins , licensed as a(n)Contractor*/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 110 1 R N j I did personally inspect the roof deck nailing
(Date)
work at:
n that jeXamination I
ed' Ion of th or da Existing Bui
ost stri
ignature —dSedK
Se
STATE OF FLORIDA
COUNTY OF , SL
(Job site add
determined the installation was done according to the current
ng Code Section 611 or the product approval submitted (whichever is
CCC-058011
License #
S r to and subscribed before me this I _ day of 0 ��,�/ 20Lg
be 460he! & A14 -C Who is personally known to me or who has produced
as identification.
Notary Public, State of FI i a
Signature of Notary:
Commission Number: "'
(Seal)
^
En 01/19/2011 �".��p,'si'vPt,
« •e
CATHY J
Notary Public ida
Commisslon8
7May
MY Comm. Expi019Bonded
through Nssn.