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<br />City ~ofZeRhYrhills <br />BUILDING DEPARTMENT <br />RE: Pennit # 7 5.1'7 <br /> <br />9/17107 <br /> <br />Inspection Affidavit <br /> <br />I -r;m h.{JtL <br />(pIeue prim IUIIDe aad circle Lie. Type) <br /> <br />.licensed as a(n}~lEngineerlArcbitect:, <br />~uilding lnspector* <br /> <br />License #; fi:,/ C 1'3 2l.u ~ '74-' <br />On or about zL~ 1L~ S l r rY'\ <br /> <br />, I did personally :inspect the roof <br /> <br />~ "",,;';;;;"':/or ~"'--~ work at Iu .'{ 'll f1A tJ-h '" n-tna j),.- . <br />(ciTe/cone) (lob SitllAddrea~ <br />--Z((o~,..5, FL.. 33S~2- <br /> <br />Based upon that examination I have determined the installation was done according to the <br />HUIricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> <br />T ~ --h.-tJP <br />Signature <br /> <br />STATE OF FLORIDA <br />COUNTYOF H1tl~I"''>~ . <br />Swom to and subscribed before me this ~ day of ---.Fib, !AJ.~j <br />By ~ W'\h.Lt Tz.- <br /> <br />. 2OOf.. <br /> <br />Notary Public, State of Florida <br /> <br />ff ---~ ~ <br /> <br />(Print, type or <br /> <br />Personally known /' or <br />Produced ldemification <br />Type of identification produced.. <br /> <br />* Geaaal, Building. Residential. or ~ Comractor or aay indMda8l catified under 468 F.s. to make SDCh an <br />~OIL. lDcludepbotapapbs of each plane of1be roofwi1b tiulpermit# or address '1# dearly sbownmmbd CIIl the: <br />deck for each iDspectjou. <br /> <br />Comnriqion No.: <br /> <br /> <br />~''tf~ PAM SCHRECENGOST <br />l} MY COMMISSION #. DDSS8.. <br />~ '" . .Iy 12. 2010 <br />Aorida-.y~..com <br /> <br />G'd <br /> <br />8LP:90 90 ~O J81/1J <br />