HomeMy WebLinkAbout808 Magnolia Ave 09-296,24 2008 12: 5 8 P M HP LASERJET FAX
RE: Permit # q
City of Sanford
BUILDING DIVISION
Inspection Affidavit
I °- g l_ ,licensed as a(n) C ntractor* ngineer /Architect
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; C- c CIR(��.�
, 7v
On or about V61 /:; , I did personally inspect the roof
(Date do lime)
deck nailing and/or secondary water barrierwork at �C
(circle one) (Job Site
� yL ?�7_-Tl y
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
Dot^ )o
Signature
STATE OF FLORIDA
COUNTY OF(�(Y\N10\Q—
Sworn to and subscribed before me this
111,11111 11-11161iE
day of
Notary Public, State of Florida
(Print, type or amp e)
- Commission No.: lqy`�y�o�l
Personally known �_ or
Produced Identification
Type of identification produced.
200
General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address K clearly shown marked on the
deck for each inspection.
P.1