816 Rosalia Dr - BR08-000250 - REROOF INSPECTION AFFIDAVIT (DOCUMENTS)In
SanfordCityof
BUILDING DIIIISION
Inspection Affidavit
I `) (, C ,licensed as a(n) C tea ctor-* /EngineerlArchitect, . .
please print name and circle Lic. Type) FS 468 Building Inspector*
Li nse #;
On or about 161 ';gld,V - , I did personally inspect the roof
Date & time)
r f
deck nailing and/or secondda water barrier work at
circle one) (Job Site Address)
d upon that examination I have determined the installation was done according to the
icane !y tigatiioon Retrofit Manual (Basted on 553.W F.S.)
ST TE OF FLORIDA
COUNTY OF n /)
S rn to and subscribed before me thi day of ,( .2009
PATPZICIA J. COIEMAN
DDommit0396567pPYPToCV4 :
r' •= Expires 2/15/2009
c Bonded thru (e00)432-4254:
fGi F=,r
Florida Notary Assn., Inc
rally known or
Iced Identific on
of identification produced.
Notary Public, State of Florida
Print, type or stam e)
Commission No.:
teceral, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to makesuch an
dou. Include photographs ofeach plane ofthe roof with the permit * or address # clearly shown marked on the
or each inspection.
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