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<br />~ <br /> <br />9/17/07 <br /> <br />'Inspection AffidaVit. <br /> <br />.I J~L Sehtlp~ <br />(please print name and circle Lie, Type) <br /> <br />,licensed. as a(n) Contractor /Engineer/Architect, <br />'FS 468 Building Inspector <br /> <br />License #; C Cc... 05~ I 3 L.{ <br /> <br />On or' about J I J I L{ ) 0"'1 q : 00 A-vv\ , I did personally inspect the roof <br />. ' . (Date & time) . <br />, <br /> <br />~and/orsecondarv~barri'J!)workat lDLf/~ fh,~ 'D-/V€- <br />(circle one) . . (Job Site A ). <br />, . <br />h.~Ll F-L 3 ~ ~ 0-- <br /> <br />Bas <br />H <br /> <br /> <br />t eXl'Imimrtion I have detemii.nedthe installation was done according to the <br />.gation R~ofit Manual (Based on 553,844 F.S.) <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subscnbed before me this J ,1 day. of n crv e.m b.e.r <br /> <br /> <br />~ : Notmy Public, State of Florida <br />By ~~ ~~, SBleof FOOlB <br />My Commission Expres October 25, 2010 <br />Com. No. 0D608871 (Print, type or stamp name) <br /> <br />, 200 '] <br /> <br />Personally known~. or <br />Produced Identification <br />Type of identification produced, <br /> <br />Commission No.: <br /> <br />~ G=~, Building, Residential, or Roofing Contractor 6r any individual certified under 468 F.S. to make such an <br />mspection. Include photographs of each plane of the roofwith the pcmrit # or address # clearly showri marked on the <br />deck: for each inspection. . <br />