HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building &'Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Christopher Collins
(Please print name & circle license type)
SCANNED
BY
St. Lucie County
licensed as a(n)Contractor*/Engineer/Architect
*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 2019 I did personally inspect the roof deck nailing
(Da )
work at: liti" oy nY I PA Ref P. .
(Job site address)
tined.the installation was done according to the current
1 Section 611 or the product approval submitted (whichever is
CCC-058011
License #
STATE OF FLORID
NL
COUNTY OF
Sw t and sut crib d before me this day of 2L��
by 7 f Who is personally known to me or who has produced
SN 6 i 4 as identification.
Notary Public, State of
Signature of Notary:_
Commission Number:
En 01/19/2011
Slale of Florida
My Comm. Expires Dec 18, 2021
Bonded through NaOmal Notaryksn.
(Seal)