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<br />. '. <br /> <br />.Jl]RfSDICt'ION.iOF yOUR ,CHOICE', <br />'.BUJLD~Gt>EPAR'ifMENT <br />-,Li i v <br />M: Permit# 17 9/17107 <br /> <br />msPecnoD AffidaVit. <br /> <br />J ~ tDtf IJIA c1M..Il ^ <br />(please print Dame and ci1cle Lie, 'IYJ!e) <br /> <br />~censed'as a(~ /Engineer/Architect; <br />. . ~l1i1r1mg Inspector* <br /> <br />License#;CtC OS? q s-7 <br /> <br />On or'sbout 1/1-1' joY. :L :00 PM. <br />. e &. time) <br /> <br />, I did personally inspect'the rJl9t . <br /> <br /> <br />deck nailinyandlor secOndary water barrier'. ork at /)"3 Lf ~ /J.e-lfy~M.{) y <br />(drt:le one) (Job Site.Address)' <br />~flMt.,./.t~/LJ ~I 33rf',-. <br /> <br />. , . <br /> <br />Based upon that e:r::rt"lmation I have determined the installation was done according to the <br />Hmricane Mitigation ~ofit Manual (Based on 553.844 F.S.) <br /> <br />~ / <br />V' Signllture <br /> <br />STATE OF FLORIDA <br />COUNTY OF . <br />Sworn to and subscribed before me this 2-f~y of <br /> <br />By S r6tf Nfi.clJY1q:1'1 <br /> <br />~.~~ <br /> <br />J4-n ' <br /> <br />. 200 ~ <br /> <br />Notmy Public, State of Florida <br />rOr/ann J/~ul;A <br />(Print, type or stamp name) c/ <br /> <br />Personally kDownL or <br />Produced Id.entiDcation <br />Type of identification produced. <br /> <br />~ Gcne:ral, BuDdiDg, ResideD1ia1, or Roobi CcmtrllctDr ~ aay ill4i'vidwll certi:fi1lCl1lDdcr 468 F.S. to make. such m <br />iDspectio:II. l1Jclucil: pbotDsn-Phs of each plane oflbe JUOfwitb. the J'CDDit:ff. 0< adcir=ls # clCllldy shown mmaxI on the <br />cleek for each iDspcction. ' <br /> <br />Commission No.: <br /> <br /> <br /> <br />. CCII ANN IlEOUlIH <br />...,,.. - -....... <br />. t .....,..t7.2IN <br />c-.._." ,'00_ <br />..... Iv ..... Ala <br />