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<br />.JURfSDICTlON,iOF YOUR ,CHOICE <br />. : BUILD~GJ)EPAR.'CMENT <br /> <br />RE: Permit # <br /> <br />7~1, 1 <br /> <br />9/17/07 <br /> <br />insnectiOD AffidaVit. <br /> <br />S (L) H LJ(e.. ctPl W <br />] - <br />(please ,mat..... 8Ild c:irc1a Lie. Type) <br /> <br />,li~ensed;as a(n)~ IEngjneeriArchitect, <br />. ~uilding lnspeetor* <br /> <br />License#; ((CoS' 7~r 7 <br /> <br />OnoraboutJ ZIf'J'" /: i:JO flY, ,Ididpcisonallyinspectthem2f". <br />. . r r (DIIe&1iDul). , <br /> <br />deck nailiny and/or secondarv Water barrier. work at /; 7 0 I hf:i!:J C ,-- <br />(circle one) . (lob Site <br />"':2-,... ~IA f/V'~ jr P/ ';?Y;-?/Z- <br />, ./ ..' <br />Based upon that ~mnination I have detcmiined the installation was done according to the <br />Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> <br />~ <br />Signatute <br /> <br />STATE OF FLORIDA <br />COUNTY OF . . <br />Sworn to and subscribed before me this LO day of "De c em't1>y.- <br /> <br />By ~ ~\~l.rr-o.n. <br />. ,l.. . Notary Public, State of Florida <br /> <br />. en" \ An(l ~r)\J..\.h <br />(Print, type or stamp :tUI!D8) <br /> <br />.200.] <br /> <br /> <br />, .,~ cau... <br />~ ,.... ..... -.,.... <br />· c.a . r ...._t7.... <br />C.I.. "1 DD_ <br />" ...... <br />Perscmally lai. _ AM <br />Produced Identification <br />Type of identification pro~)t~ed. <br /> <br />Commission No.; ~ <br /> <br />~t....O~ <br /> <br />~ Gen~, Buildmg, Aesidealia1, Of lloofiD.a' CoIItnIctar ~ IIII.Y iDcIMda.l certifiocl UD4c:r 468 F.S. II) ~.such ~ <br />mspectIon. JDcJude photoJI'IPhs of each plaDe oftbe roafwi1b the permit" or IIddres:s .. cJcmty shO'IlIIi madcecl 011 tb <br />dec:k fot eac:b i.upccticm.. .. <br />