HomeMy WebLinkAbout911 South Magnolia Ave (2)MAR 2 8 2016
CITY OF SANFORD BUILDING SERVICES i
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: ! 6 — 000.0 0.3 7.2
hereby acknowledge that I personally inspected
0 Roof deck nailing and/or 0 Secondary water barrier work 3 7/
J
T
at ,l C c h ga—i4Aa 1,F,,q 17v i lU and have determined that the work
Job Site Address) y
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Date
PL420 - 0-1
License #
License Type: General Building Residential 0 Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
c'0cp-O5(-O
STATE OF FLORIDA COUNTY OF SPNn 'f Y1 A e)
Tmo%=Ora.ffir.. med and subscribed'before me this day of . 20 i , byyi , who is Personally Known to me or has ;Produced (type of
ikevdficatiio( Jul i as identification.
Signature of Ndtary Public i(
State of Vlorida
Print/type/Stlamp Name
of Notary Public
i;'r pis NAYDA MONTANE
Notary Public - Slate of Florida
My Comm. Expires Feb 9, 2018
E
Commission # FF 091054
Bonded Through National Notary Assn.