Laserfiche WebLink
<br />.. <br />. .. <br />..JlJR1SDICTlON' (OF' YOUR ,CHOICE, <br />, . .BUIDDING'J)EPAR'i.fMENT <br />, I , <br /> <br />, ~: 'Permit# 7'175' 9/17107 <br />'lDsriectioD AflidaVit ' <br /> <br />, , <br /> <br />.I jeV\" _~-J r-D.r\ <br />(please yriJ1t DllIIle lIIId circle Lie. Type) <br /> <br />,licensed:as a(n) ContIaCtor* /Fng;neer/Architect, <br />'FS 468 Bui).r1m.g Inspecto~ <br /> <br />License #; ~ r~a~~o.s"" <br /> <br />On OI'about &</14/ c:8 <br />lite & tialO) <br /> <br />,3: 30 ~-' i di~ Jieiso~Y inspect the roof' <br /> <br /> <br />., I <br />watel"btll'rier <br /> <br />ork at <br /> <br />S"7""~ \L{-\h 5+, <br />(Jgb Sita~) <br /> <br />. ' <br /> <br />'33$L.\d. <br /> <br />, I <br />Based upon that p.y=a'ft'l;nA.ti.onI have lkt.,,,..;;ned the iIJstallation was done according to the <br />-<;::" I:- MitigationR!llr<>lit Mam>al (B..-d em 553.844 F.S.) <br /> <br /> <br />Signature <br /> <br />STATE OF FLORIDA ' <br />COUNTY OF : ' <br />Svromto~~~mothi>JfLdayof }:~\-. . <br />BY~ '.'. <br />__,', ' ',: Notar,y Public, State of Florida <br /> <br />.200~ <br /> <br /> <br />~~ N_",~S"'ofFIoliC:l.' <br />. ~ . CfttItlIIft Ryman , <br />, '" c ~ ~ My commjpign 00751610 <br />......" W,..0112./2D12 <br /> <br /> <br />L-'hN~-W~ A~~~ <br />(Print, type or stamp name) <br /> <br />PersODally lmow:u1 or <br />Produced Idcmtificati.on <br />Type of identification produced. <br /> <br />~. Gmen1. BuildiDg, lWidaatill1. or llaofiDg ~ ~ III,)' iJldiYidlJal certified 1mIiar 468 P.5. 10 ~ such BIl <br />mspeoticm. IDc:h1da pboulsnp!u of' -= plac O~thll nlOfwitb the pcmlit ~ or IddraIl # dcstly JblnvIl DIIBbd on tblll <br />dec:lc: far =u:h blsped:i.on. ' <br /> <br />Commission No.: <br /> <br />lOO/lOO~ <br /> <br />-.J 81 <br /> <br />X~~ 6~:LO 800G/~l/GO <br />