HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1 qbI--o Sam
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue - ---
Fort Pierce, FL 34982
772-462-216S or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 1901- 052Z
MAR 0 61018
Permitting
St. Luce Couni,
1 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 03LOLPIZO19 I did personally inspect the roof deck nailing
(D te)
work at: b03 T1-M�,t�P f[p _ R-
I site address)
STATE OF FLORIDA
COUNTY OF
00
RECEIVED Cp4
7
I have determined the installation was done according to the current
Building Code Section 611 or the product approval submitted (whichever is
CCC-058011
License #
S �ad lb ed before me this day of ' 20
V1b Who i ersona y cn wn o m or who has produced
Notary Public, State of
Signature of Notary:_
Commission Number: I
En 01/19/2011
• ' "�•`•
. •.
CASEY FRENCH
Notary Public - State of Florida
Commission # GG 167258
`�„�• � ,
My Comm. Expires Dec 11, 2t121
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BOMed Nrow�h Natio�ul Nolaryfnsn.
(Seal)