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
SCASN�NED
St. Lucie Countv
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 5 I did personally inspect the roof deck nailing
(Date)
work at:
(Job site
upon a ina " I have determined the installation was done according to the current
n of 1 d xis ' g Building Code Section 611 or the product approval submitted (whichever is
stri n
CCC-058011
rSE2tls License #
STATE OF FLORID,
COUNTY OF
Swo n to n sued before me this day of 20_a
by /F 1 l8b . Who is personally know to me or who has produced
U' D� 6 ID,OVasidentification.
Notary Public, State of
Signature of Notary:
Commission Number:
En 01/19/2011
Commission k GG 169025
My Comm. Expires Dec 16, 2021
Nunded Waugh Nainnol NolaryAssn.
(Seal)