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HomeMy WebLinkAboutInspection Docs Planning& Development Services
-'IL7 ; �_- Building&Code Regulation Division
g.
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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 under468 F.S.to make such an inspection.
On or about 01 1, I did personally inspect the roof deck nailing
(Date) L r
work at: Z-I U© 5- 34-o" 5221 �l�(� Bocce-
(Job site address)
Based on that a ination I ha a determined the installation was done according to the current
edi ' n of the I a Exis . g i ding Code Section 611 or the product approval submitted (whichever is
ost sty' e
X CCC-058011
'ig a,urea Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to qnd subscribed before me this a" day of r 20LkQ
bvc✓o �V p� L c;u .o Who is personally known to a or who has produced
1%Llh C g3:Z talo L9o�-
s3o as identification.
Notary Public,State of FI
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
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81 �IOp►E'1�IIE-Sht10l Floyd@a
COIrOnitston i FF 919112
MY Ceram-EX083 Jan I t.2020