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708 Oak Ave - BR09-000159 - REROOF INSPECTION AFFIDAVIT
2008 2:51PM HP LRSERJET FFIX City of Sanford BUILDING DIVISION RE: Permit #1 e S 1 Inspection Affidavit I ry-n r+ n P?n Fw I WOn,licensed as a(n) Contractor* /Engineer/Archit please print name acid circle Lic. Type) FS 468 Building Inspector* License #, C OC ©J-7 U K CP On or about r f —( pA . , I did personally inspect the roo Date rne) deck nailing and/or secondary water.barrier work. at —7Gb o2 if R V C circle one) (Job Site Address) n rot r-L Based upon that examination I have determined the installation was done according to the Hurricane Miti(g ation Retrofit Manual (Based on 553.844 F.S.) MCI . e u d--, Signature STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this Jday of (-T. .2001 L/ Notary Public, State of Florida ROBE IS I N#MALONEYID8 O GMYCOMMISSION9DID722892 EXPIRES: October 12, 2011 (Print, type or stamp name) Bonded ThN Budget Notary Serdces Commission No.: Personally known- or Produced Idevtificatlon Type of identification produced. General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. Include photographs of each place of the roof with the, permit # or address # clearly shown narked on the deck for each inspection. p.1