HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITj
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
Re: Permit# 19 0)652.�
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 certiped under468 F.S. to make such 'on inspection.
On or about 2
1 I did personally inspect the roof deck nailing
(Date)
workat: (02U-P �0.jnnl I�G�'I'� •�P(�P .
(Job site address)
Base pon th tion I have determined the installation was done according to the current
e ' ton of I rida Exis ' g Building Code Section 611 or the product approval submitted (whichever is
ost str'
CCC-058011
Signatur nd Sea License #
•f
STATE OF FLORIDA
COUNTYOF C2 L G'
Sw%and subscribed be e methisJday of r�' ✓jZ4 20LQ,
by�l Who is personally known tome orwho has produced
as ideniihcetlon.
Notary Public, State of F ida p
Signature of Notary: �44,
Commission Number: e(�
(Seal)
En O3/19/2011
;!e„ CATHY J ROBERTS
'
?,tN;Notary Public - State of Florida
_ Commission K FF 221708
My Comm. Expires May 1C, 2019
'1% .10V Ba&dtr moNa9mW Notary Assn.
Al -
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