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<br />.City of Zewrhills <br />BUILDING DEPARTMENT <br /> <br />RE: Pemrit # 7683 <br /> <br />9117/07 <br /> <br />Inspection Affidavit <br /> <br />I k~\f, ^ ~i~C"M'\ <br />(please print name aod ciP:l. Lie. Type) <br /> <br />Jiceused as a(n~Ar1:bitect, <br />Building Inspector* <br /> <br /> <br />License#; CCJ:- 13c2~S <br /> <br />On or about 3 /' ;}~/tS ~: 30 PfV\ , I did personally inspect the roof <br />(Date &. time) <br /> <br />ark at ~~3q 'b:.\-+~ tr. <br />(Job Si= Address) <br /> <br />2...Ph"lr h to 'is. J:.L 3 J s"t ~ <br /> <br />Based upon that ex3!lJination I have detemlined the installation was done according to the <br />Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> <br />~ <br />Signature <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Swom~~edbefim:mc~dayof ~ <br />B~ '. <br />Notary Public, State ofPlorida <br /> <br />.2008 <br /> <br /> <br />AIi' ~!Ct. N_,., Publle ''-Ie 01 FIoIlOll <br />'~I"" CIlrllllln Rymllll <br />;"c ~; My CommiHlon DD751610 <br />-"a,"'. ~... 01'2~'2 <br /> <br /> <br />LLt"u +i~ J\~",",~ <br />(Print, type or stamp name) <br /> <br />Personally known / or <br />Produced Identification_ <br />Type of identification produced. <br /> <br />Commission No.: <br /> <br />· GII1n, Buildins, ReBid_till, or Roofing CoDIrIICtOr or eny individwll ctJI'tifiCld undllr 468 F.S. to milk. such ID <br />inspectimL lAc:luc1c: photographs of CIGh plBD.e of the roof with the pennie # or addn:ss # clearly shown mBrlced on 1hc <br />deck for each iaspectiOD. <br /> <br />lOO/lOO III <br /> <br />xv~ L~:90 800G/lE/EO <br />