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<br />.JI]RfSDICTION.;OF Y.OUR ~CHOICE. <br />. 'BUILDING~EPARl'MENT <br />.' , <br /> <br /> <br />RE:Permit# ~ I'll \7 9117/07 <br />'Insllection Affidavit. <br /> <br />.I J fAI;l/e:~1J? ~ IJ // . . . <br />u::::7ft73) bit{, <br />On or-ab~ut ~ 4 Oc t Or; <br /> <br />(Date & time) . <br /> <br />,licensed as a(n) Contractor /Engineer/Architect, <br />'FS 468 Building Inspector <br /> <br /> <br />, I did personally inspect the roof' <br /> <br />)74[0 7bx~drry t,f <br /> <br />(Job Site Address) <br /> <br />, <br /> <br />Based upon that examination I have detem:iined the installation was done according to the <br />Hlfi~asroOO553.844F.S.) <br /> <br /> <br />Si ture ' ' <br /> <br />STATE OF FLORIDA <br />COUNTY OF . <br />Sworn to and subscribed before me this $y of <br /> <br />By fs~ -1?~ <br /> <br />&1M) <br /> <br />. 200.2 <br /> <br />"..", "II.. <br />.... 6 ~10 Angela Melendez <br />* ~ * My Comm. expo June 19,2010 <br />,p;.~..:>" Commiss~' ion 0.00565735 <br />~ DF f\.G <br />Personally known _ or <br />Produced Identification <br />Type of identification produced. <br /> <br />~ Gen~, Building, Residential, or Roofing Contractor ~ any individual certified under 468 F .S. to make. such an <br />mspection. Include photographs of each plane of the roof with the permit # or address # clearly showri marked on the <br />deck for each inspection. . <br /> <br />, Notary Public, State of Florida <br /> <br />~Q~~'2.- <br />(Print, type or stamp name) <br /> <br />Commission No.: t>t>5eo5'73S <br />