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<br />07/09/2002 02:45 <br /> <br />8139333499 <br />P;y: - <br />---. <br /> <br />QUALI TYROOFI NG&CONST <br />1BD- DO)( <br /> <br />PAGE 01 <br /> <br />RE: Permit # <br /> <br />'.City of ZeJmyrhills <br />BUILDING DEPARTMENT <br />75)1 <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br />I lrokrt I ~f~t'/~ ;1C <br />(please print name Imd circle Lie. Type) <br />o C /)q ). ~ <br />License #;-f' ~ I D d-? 3 ) ? <br /> <br />On or about -) 7-.t} Be: 0 0 <br />(Date &: <br /> <br />~licensed as a(n) Contractor* /Engineer/Architect, <br />FS 468 Building Inspector* <br /> <br /> <br />, I did personally inspect the roof <br /> <br />.- <br />"'" <br /> <br />08 (). 5tephP/J~ #:111., <br />(Job Sm: Addn:88) <br /> <br />Based upon that examination I have determined the installation was done according to the <br />Hurric e 'ti ation trofit Manual (Based on 553.844 F.S.) <br /> <br />~. <br /> <br /> <br />STATE OF FLORIDA <br />COUN1Y OF t~ <br />Sworn. to and sUbscribed before me this ;;l day of .fe.btoo ~.... <br />~ - n <br />By ~~ir~\.J~ U- <br /> <br />.200~ <br /> <br />Notary Public, State of Florida <br /> <br />~;~ b'~JS <br />(Print, type or stamp name) <br /> <br />Commission No.: ~ <br /> <br />Q) D,lMlHIWI <br />. . MV'ca.tMIISlON t DO 711.1 <br />. . ! EDlPIRES: 0dDIIer 12, 2011 <br />.....'IlW.., ...1MdoMlIIrt <br /> <br /> <br />Personallyknown'7 or <br />- <br />Produced IdentificatioD_ <br />Type of identification produced. <br /> <br />., G=era1, Building, Residential, or Roofing Conttac:tor or my individual certified under- 468 F. S. to make such en <br />inspection. Include pbotographs of eacb plllOc of the roof with the pcmIit f# or address t# clearly shown marked on Cbe <br />decJc for each inspection. <br />