HomeMy WebLinkAboutRoof Inspection Affidavit 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
RECEIVED JUNI 0 ° 70;6 ROOF INSPECTION AFFIDAVIT
Re: Permit# yxG-(3\<)q
1, 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 u5� ) (,�, I did personally inspect the roof deck nailing
(Date)
work at:-5100 5 u(n 5Q,+ Foy* I�C�
(Job site address)
Base pon tha x ination I ave determined the installation was done according to the current
e ' Ion of th ori a Existirig By Iding Code Section 611 or the product approval submitted (whichever is
ost strig ).
CCC-058011
.s a j LICenSe#
STATE OF FLORIDA
COUNTY OF S't' 4-se-Ta, // -�—
Swo��rttn��to and subscribed bef ore me this 6e day of20 (f,,
by Who is personally known tome or who has produced
rL !7 L as identification.
Notary Public,State of Aprida f• ^-
Signature of Notary: � � �� ,, ��P�(� CATHY J ROBERTS
Notary Public-State of Florida
Commission Number: 17 S l#'?
u •- Commission#FF 221708
6's� °6 M Comm.Expires May 10,2019
En 01/19/2011 9T ' yAssn.
;;:•� Bonded through Wonal Notary
i