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<br />City of Zephyr hills <br />BUILDING DEPARTMENT <br /> <br />RE: Permit # ~) (p 6Z--- <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br />1, f . / I~' , ".;; ~ > ~ , <br />I :.,\ ' .......,,: ~ ~.t.., ", ,j,:'''~.i , ',"" ~ /.' ,r t..t;;jf~ensed as a(n) Contractor* /Engineer/Architect, <br /><please print name and circle Li'~. Type) FS 468 Building Inspector* <br /> <br />License #; <br /> <br />On or about <br /> <br />/' <br />I <br />, " ') / m 1> <br />, , ;.0._- rs-' I I~'l <br />(Date &,fune) <br />l. <br /> <br />, I did personally inspect the roof <br />t 'r; <br />.~ '" /"(j/ <br />'/ "7 ,,:' /' -::' <br /><~ ( {{ .':> I (."'\..- <br />, <br /> <br />C/~-,~: ~ <br /> <br />deck nailinf! and/or secondary water barrier work at <br />(circle one) <br /> <br />(Job Site Address) <br /> <br /> <br />a.t11in,ation I have determined the installation was done according to the <br />a~n,~etrofit Manual (Based on 553.844 F.S.) <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subscribed before me this 20 day of Jjarct:..- <br /> <br /> <br />By ~oL", ~ . NOlalyPublic, State of Florida <br /> <br />. 20060 <br /> <br />Personally known t./ or <br />Produced Identification <br />Type of identification produced. <br /> <br />~~:.)f.~:r~ JACQUELINE SOGES <br />(P . t ~:"~.'_621833 <br />nn, --., .....11 S, r 12, 2010 <br />'.Rfo,!lI" llotwIta TIiN Troy Flin InaurltlCl800-385-7019 <br />Commission No.: <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 pennit # or address # clearly shown marked on the <br />deck for each inspection. <br />