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<br />City of Zephyr hills <br />BUILDING DEPARTMENT <br /> <br />RE: Permit # /f 0 IS- <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br /> <br />~ J.k1A1') ~~sed as a(n) Contractor* !Engineer! Architect, <br />(please print name and circle Lie. Type) FS 468 BuIlding Inspector* <br /> <br />On or about <br /> <br />,. /' <br />:J-/ 7 / ~ <br /> <br />( (Date(& time) <br /> <br />, I did personally inspect the roof <br /> <br />S-~ S-r - ( !~ft-, <br /> <br />(Job Site Address) <br /> <br />License #; <br /> <br />deck nailing and/or secondarv water barrier work at <br />(circle one) <br /> <br /> <br />t examination I have determined the installation was done according to the <br />. -(Based on 553.844 F.S.) <br /> <br />STATE OF FLORIDA <br />CO~OF ~ <br />Sworn to and subscribed before me this 2..::..day of <br /> <br />By7LdtfJ?~t~~_zi <br /> <br />77J ~A~ <br /> <br />.200t: <br /> <br />. Notary Pnblic, StaterF10ri <br /> <br /> <br />C~IY kli:'::> or <br /> <br />-."Produced Identification ~ <br />Type of identification produced. <br /> <br />(print, type or stamp name) <br /> <br />",.~~,. . BOBBIE S. SWETLAND <br />Commission No.: t.:r :">;to": Commission DO 734406 <br />~ .; Expires February 22, 2012 <br />.''f, " Ilondod ThN Trov Ftin 1_1lOH85-7010 <br /> <br />A//l- <br /> <br />* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F .S. to make such an <br />inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the <br />deck for each inspection. <br />