HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITBuilding & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl. 34982
772-462-216S or772-462-2172
Fax: 772-462-6443
S'j
ROOF INSPECTION AFFIDAVIT �Ucie OUp(l,
Re: Permit #
Ir Christopher Collins licensed as a(n)Contractor'/Engineer/Architect
(Please print name &circle license type)
'FS468 Building Inspector .
-General, Building, Resldendol or Roofing Comractoror any Individual certlfled under468 F.S. to make such an Inspection.
On or about 2 q ' I did personally inspect the _roof denailing
(D te)
work at:
(Job site address)
uponethxaminatio I have determined the installation was done acc
1 ofta Exis g uilding Code Section 611 or the product apprOV
W/zopol'3�7 0"amormor;
STATE OF FLORIDA
cOUNTY OF ]E;J-� ! �/�� �
w�20
�da
by gry}.to and su cribeQ before me this Yofjed
.Who ispersonall� vk�ownto.me or who has
as identification.
Notary Public, State of FArida
Signature of Notary: 70
commission Number:
En 01/19/2011
prduced:,
(whichever is
CATHY J ROBERTS
Notary Public - State of Florida
Commission & FF 221708
My Comm. Expires May 1C. 2011
1'
tr
,r
ih� !�
�:� �`n�•
Scanned by CamScanner