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<br />.JlJRfSDICTION.~OF YOUR ,CHOICE. <br /> <br />. . <br />. BUILD~GDEPARTMENT <br /> <br />RE: Permit:# <br /> <br />9/17/07 <br /> <br />Inspection AffidaVit <br /> <br />-IlA A 'N!2.I' f.1\ It V\ {\ .. . . <br />.I ~, V' ~. ,licensed as a(n) Contractor /Engmeer/ Architect, <br />(please print~ an(d CU'Cc. Ie; ~ /itl.: 'PS 468 Building Inspector <br /> <br />License #; L pI <br />1m ~~? <br /> <br />(Date & time) . <br /> <br /> <br />On or'about <br /> <br />STATE OF FLORIDA . <br />COUNTY OF~S"()1 ,.tJtJ (") <br />Sworn to and subscribed before me this ~ dJ:J.y of )./ c: c . <br /> <br />By/ltJStrn '-11~ .. <br />'/ '. . .. . Notmy Public, State of Florida <br /> <br />",,,II' "II.' . '~ J , //A <br />...n. ~10 Angela Melendez ..(At) '-111..t.4~~ <br />~.. ~ My C'JiiII h: exp.June 19, 2010 (Print, . e or stamp name) <br />.,~, ...~ ComnllsslOn No. DDS6S73S 5 -::z.. - <br />Off\: ~ CommissionNo.: \)t)5lP 7J~ <br />Personally known _ or ! <br />Produced Identification <br />Type of identification produced. <br /> <br />.2001 <br /> <br />* General, Building, Residential, or Roofing Contractor or any individ11al certified under 468 F.S. to make such an <br />inspection. Include photographs of each plane of the roofwith the permit # or address # clearly shoWIi. marked on the <br />deck for each inspection. . <br />