Laserfiche WebLink
<br />.JlJRfSDICTION. iOF YOUR ~'CHOICE, <br />, 'BUIDDING~EPAR'!.rMENT <br />" , <br /> <br />RE: Permit:#~ <br /> <br />9/17/07 <br /> <br />'Inspection AffidaVit' <br /> <br />J . J {AJ /II [/1//',4/1/1/ ,Jicensedas a(n) Contractor" IEngineer/Arehitecl, <br />(please print name and circle Lie. Type) _ 'FS 468 Building Inspector* <br />, " 50 'c:r, <br />License #;L' f3 {. () 0 I ~ ~ <br /> <br />On or'about ;J :< fJ ( +. D]' , I did personally inspectthi roof' <br />(Date & time) b. 1jJ <br />deck nailin and/or secon a ~at~r barrier work at 3 c/ 16' [(: 0.. 'c (, <br />(circle~) :: / ~ I (Job Site Address) <br />?~hl !I /i-, J,J)C(~ <br /> <br />Based upon that ex::!mination I have detemlined the installation was done according to the <br />Hurricane Miti .on R~o:fit Manual (Based on 553.844 F.S.) <br /> <br /> <br />Oc fv~<2,A- <br /> <br />. 200 '1- <br /> <br />I................................... II......., <br />i MICHAEL P DeLESSIO :. <br />i _ ComInlt 000487094 : <br />i ~ Expna 12N2008 : <br />E ~\cIii Bonded Ihru (800)432~254i <br />: iJp~ Florida Notary Assn.. Ine : <br />I................. 1.....1.... II 1.1 II .........1 <br /> <br />: ..NOtary Public, S~ori.:z- <br />: __/'z'i~/.U <br />'" (Print, type or stamp name) <br /> <br />Commission No.: <br /> <br />DD Olter 1-694 <br /> <br />I <br /> <br />}.1,(, 'ttJ(t 1 r d <br /> <br /> <br />~ Gen~, Building, Residential, or Roofing Contractor ~r 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 marlced on the <br />deck for each inspection. ' <br /> <br />Personally known ' ?Y <br />Produced Identification )( <br />Type of identification p~duced. <br />