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<br />.JIJRfSDICTION,iOF' YOUR ,CHOICE. <br />. :BU1LD~G'Ji)EPAR'['MENT <br />RE:J>ermit# 14Jb 5 . <br /> <br />9/17/07 <br /> <br />insPection AffidaVit' <br /> <br />J <br /> <br />;e'c1ad' t~4!.eW- <br /> <br />,li~asa(~~ ~eorh\rcbitect; <br />, '8 Building Inspector <br /> <br />(please print name and circle Lie. Type) <br /> <br />License#; (!~~/3~5 t/9o/ <br /> <br />On or'about ' I did personallY inspectthe roof <br /> <br />~m&~~ ~ <br />~at~ barrier' work at S / f 2. 8 - Sf <br />(Job Site AddresS)' <br /> <br /> <br />'<tr- <br /> <br />335{J-- <br /> <br />I <br /> <br />. tion I have dete:r.n:rined the installation was done according to the <br />R~ofit Manual (Based on 553.844 F .S.) <br /> <br />~~. <br />- -,/- -------~' <br />_.~---- --- . <br />~ - - <br />- ' <br /> <br />./ <br />TATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subscribed before me this ~ day, of Jt.f/'SJ- <br /> <br />By fl~ud>.e ..~ <br />. (, . .' . I Notary Public, State of Florida <br /> <br />. 2001i <br /> <br />. (Print, n7n..-ffi'" " E BOGES <br />'. 'J.r~c i:~ o":lmlss DO 621833 <br />. . '>7,~"",'!i~.' Expires December 12, 2010 <br />COIIJIIl1SS10~1:I.: _ThIll Troy F...I......notllOO-38$-7019 <br /> <br />Personally knownL or <br />Produced Identification <br />Type of identification produced. <br /> <br />i <br /> <br />~ Gen~, Building, Residential, or Roofing CoutractDr 6r my individual certified under 468 F.S. to make such an <br />mspection. In~lude p~otographs of each plllDC of the roof with the permit # or address # clearly shOWIi marked on the <br />deck for each mspection. ' <br />