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<br />.JURfSDIcnON.iOF' YOURiCBOICE <br />, ',BU1I:.IDING'~EPAR'il'MEN'I' <br />, . <br /> <br /> <br />RE: Peanit4JI 7 ~oo 9J17107 <br />'lnSJiection AfftdaVit . <br /> <br />.1 --1< e. V, 1\ ' ~1'hl.M) <br />(pIeaseprilltuamc and tiJclc~ Type) <br /> <br />,licensecl'"as a(D) C01ltracto~ /Enwnl'!CE'! Architect, <br />, ; 'FS 468 B1Ji1d;ng lDspeeto~ <br /> <br />License#.: r'( c..... r~,SS-05' <br /> <br />, , On orabout /;). ~ $"" /08 tc:)~ <<J ~ . I did perscmally inspect-the mat' <br />. ~&~' : ., ' <br />~ naiZ:;~ and/or ~p.~n"~ "';tZt~ belm. ~ 5714 /.:1+'-' st. <br />(c:irde oM) . , (JOD Site AcidIas) , <br />2ePki,-h~ \\.).. t:L,' ' <br /> <br />, . <br /> <br />Based 'Uponihat p-ymn;nAuon I have detAm'rined 1he installation was done acco.rdiDg to the <br />HumcBne Mitigation ~t Mam1a1 (Based aD. 553.844 F.S.) <br /> <br />A- ',', :. <br />Signature ' ~_, <br /> <br />STA'l'B OF FLORIDA <br />COUNTY OF' : <br />s:r<<l~_~dayof ~t <br />~ "... <br />. , No1m:y Public, State of Florida <br /> <br />.2002 <br /> <br />. , <br />.Jj'~ NaIIIy PubliC Slaw or FlorlCta <br />~~.~ Cllrlellen AyrIlIIl .. <br />~, ~i MyCommllllonDD7S1810 <br />~ ,., ExpIIWt 0112412012 <br /> <br /> <br />Personally known /:. <br />Produced Idfllfttificati--oi1 <br />IYpe of i~catioJ1 produced. ' <br /> <br />~ ~ B\D1ctia1o RaicHatial, or llao1mg CcmtnIctar br Illy iDdividD&l c:ati:Dc:d ~468 :F.S. 10 make. sacb. all <br />=:'~~smpha oflllll:b pJlIU of:lbe~with dle pa:IIIi~# or___ '# dccty iIAowAaIIll'bd OD tile <br /> <br /> <br />~"~-k'a,.,. ~"""'~ <br />, tjpe or stamp name) <br /> <br />I. <br />I <br /> <br />Cnnnn1Ci!sionNo.: <br /> <br />'-- <br /> <br />lOO/Loolll <br /> <br />X~~ 80:PL 800l/9l/l0 <br />