Laserfiche WebLink
<br />~.... ., ,,"0 - 00'2-1 <br /> <br />:City of Zephyrhills <br />BUILDING DEPARTMENT <br /> <br />RE: Permit# 7IP'10 <br /> <br />9/17/rr! <br /> <br />Inspection Affidavit <br /> <br />I 5(0-\4- ~Jcdt-... '" <br />(pleue print DIIIDC and circle Lie. Type) <br /> <br />,licensed as a(n) ~ /Engineer/Architect, <br />~uilding Inspector* <br /> <br /> <br />License #; ~ ((' o~.., 'i S~ <br /> <br /> <br />On or about '3 I ~ I D ,. f). : 00 P ; "'" ' I did personally inspect the roof <br /> <br /> <br />water barrier ark at '3 '1' ~2.. ~f.""~~ 'bll.t.~ , <br />(Job Site Address) <br /> <br />-Z~r~r\lr <br /> <br />Based upon that examination I bave determined the installation was done according to the <br />Hmricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> <br />.&~/(.~I" J <br />""Signature <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subsaibed before me this ;IL day of <br /> <br />By S(~'fAL.Jc~..~ <br /> <br />~ Ch-. d/f <br /> <br />rna.yC..h <br /> <br />.200%, <br /> <br />Notary Public, State of Florida <br /> <br />~ ann t~ <br />type or stamp name) <br /> <br />Personally known \[ or <br />Produced Identificititil_ <br />Type of identification produced. <br /> <br />Commission No.: <br /> <br />. General, Building, ReSidential, or Roofing Contractor or any indjviclual certified Wlder 468 F.R to make such an <br />inspecti.OD. Incl\adc photographs of each plane of the roof with the: pcmrlt # or address # clearly shovm mmbc1 on the: <br />deck for each inspection. <br /> <br />aI'....l: " CORI ANN I<EOUGH <br />~ N*Y N* - SIMB of FlolIdI <br />.. <br />n! . p.1y CornmiIIIlIII EllpInls Aug 17. 2010 <br />~Ill Bj eu,..miI8Ion . DO 586503 <br />"11"tjf.r..-'f.'~ Bonded BY Nallon8l NolIry Assn. <br />