HomeMy WebLinkAboutPrettyman AffidavitPlanning & 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 # 2 CA ac -+
1,L , licensed as a(n)Contractor*/Enginee r/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 (_Cgj90+z02JD , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent).
/�L /�L—
Signa u 6 Ad Seal
STATE OF FLORIDA�
COUNTY OF �y.j, �.R.C—V )
License #
Swor , o and subscr' d before me this
2Rday of OCkbef 2020
by Q.OLLypj� Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori a
Signature of Notary: fk i CCL VLQ.14�)
Commission Number: a & (%g public State of Florida
1-j jto Jones
�_ My Commission GG 985470
s 0611512024
En Not Expire
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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 # 2 CA ac -+
1,L , licensed as a(n)Contractor*/Enginee r/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 (_Cgj90+z02JD , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent).
/�L /�L—
Signa u 6 Ad Seal
STATE OF FLORIDA�
COUNTY OF �y.j, �.R.C—V )
License #
Swor , o and subscr' d before me this
2Rday of OCkbef 2020
by Q.OLLypj� Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori a
Signature of Notary: fk i CCL VLQ.14�)
Commission Number: a & (%g public State of Florida
1-j jto Jones
�_ My Commission GG 985470
s 0611512024
En Not Expire