HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982 SCANNED
or 772-462-2172 ��
Fax: 772-462-6443 St. Lucie County
ROOF INSPECTION AFFIDAVIT
Re: Permit # l qh5 - 61 Z
I, Christopher Collins
(Please print name & circle license type)
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector
*General, Building, Residential r Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about (-Q i I did personally inspect the roof deck nailing
(Dat )
work at:
(Job site
upoel aminati n I have determined the installation was done according to the current
ofxistigBuilding Code Section 611 or the product approval submitted (whichever is
tri��ir CCC-058011
[Rnatu-re'and Seal License #
STATE OF FLORIP4k, le
COUNTY OF Lt,Cr'
Sworn to and subscribed before me this —4-- day of (-Fun"- 20—/5
by 4i1 )-r/ Cn l-'n Who is personally known to me or who has produced
riJc! au.,,.— as identification.
Notary Public, State of FI
Signature of Notary:
Commission Number: % q 5 -1 (Seal)
En 01/19/2011
.,=GOMEZMEZ
�C��•',1I1�1•N:*. Ne of Florida
pN, MComssion F b 4, 2023BondedNotary Assn.