HomeMy WebLinkAboutroof affidavit Nov 0916,05:07p p.1
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
ROOF INSPECTION AFFIDAVIT
Re: Permit# 015
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 1 I did personally inspect the roof deck nailing
(Dat4)
work at: tQzLtl.
(Job site address)
Bas upon t h a min tion 1 have determined the installation was done according to the current
ition of th ida Existin uil ng Code Section 611 or the product approval submitted (whichever is
most stri n
CCC-058011
gnature eal License#
STATE OF FLORIDA
COUNTY OF
Sworn to.and subscribed before me this_ day of 20
by C.�%K L _V ,� Who is personally known to me orwho has produced
T
as identification.
Notary Public,State of Fid
Signature of Notary: "" M RACHEL IWARA VILLAS UEL
Commission Number: (Sell) :y�`- NOgrrlenblfC-SWeof Florida
En 01/19/2011
Commktior+#FF 949442
My Comm.Expires Jen 11,2020