HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT/-)) C-4 ft, L
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 _ I NSP_ECTI O N_AFFI DAVIT
Re: Permit # ) 21 L ()H 1 q
SCANNED
BY
St Lucie County
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.
0n or about 12 1 I did personally inspect the roof deck nailing
(Date)
Work at:
(Job site address)
sed upo xamination I h ve determined the installation was done according to the current
ition lF)oida E ' ting B ))ding Code Section 611 or the product approval submitted (whichever isEst tr'mt � „
STATE OF FLORIDA
COUNTY OF &Af ,L
Swownto and subscribeo�l1bef re me this day of 201
by er Cam% Who is personal) k or who has produced
as i enti ication.
Notary Public, State of
Signature of Notary:_
Commission Number:.
En 01/19/2011
s�;,
M.
CATHY J ROBERTS
Notary Public - State of Florida
43
Commission 0 FF 221708
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My Comm. Expires May 10, 2019
Bonded through National Notary Assn.
(Seal)
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