102 N Hampton Ct - BR08-000074 - INSPECTION AFFIDAVIT (2)City of Sanford
BUILDING DIVISION
RE: Permit #
Inspection Affidavit
licensed as a(n Contract0 ngineer/Architect,
please print name and circle Lic. Type) 468 Building Inspector*
11 he'd
License #; %L-3 a L1 G% 42
On or about 0 1 i -I - 68"'
Date & time)
I did personally inspect the roo
deck nailinz and/or secondary water barrier work at J 0 0, Al, AIAT itJ C f
circle one) (Job Site Address)
D —
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
i
ignature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of QL4-obf, . 200
pR l;w
By
Notary Public, State of Florida
4QC- -U^L sCo "7
Print, type or stamp naive)
Commission, No.: t)'11
Personally known or
tip°* • •
p i
Produced Identification `
Type of identification produced.
4 L
a} C
General, Building, Residential, or Roofing Contractor or any individual certified undoF.to s` ..
inspection. Include photographs of each plane of the roof with the permit # or addressthe
deck for each inspection.