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<br />City of Zephyr hills <br />BUILDING DEPARTMENT <br /> <br />RE: Permit # ? S 3;; <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br />~/!; t I; <br /> <br />~/J;//~ <br /> <br />,licensed as a(n <br /> <br /> <br />I <br /> <br />(please print name and circle Lie. Type) <br /> <br />License #; f( C 0 Ot/62 t( / <br />On or about ], ) ~/f!) Y' <br />/ (Date & time) <br /> <br />, I did personally inspect the roof <br /> <br />...-------~----_...._--.. <br /> <br />/ deck nailing and/or secondary water barrier ork at ~ r II 1 )./{) ILl IlL/! /Ie. , <br />one (Job Site Address) <br /> <br />Based upon that examination I have determined the installation was done according to the <br />Hurricane 'ga' n Retrofit Manual (Based on 553.844 F.S.) <br /> <br />~ <br /> <br /> <br />Signature <br /> <br />STATE OF FLOJUDA <br />COUNTY OF fJQ. S CO <br />Sworn to and subscribed before me this l3thday of <br /> <br />By ~ i c K € Y & (A IJ ;~ <br /> <br />'-]() .Ne <br /> <br />. 200 5.?' <br /> <br />Personally known J or <br />Produced Identification <br />Type of identification produced. <br /> <br />Commission No.: <br /> <br />Notary Public, State of Florida <br /> <br />&X~fj~ <br /> <br />(print, type or stamp name) <br />. CAR(l.YN DRISKELL <br />MY COMMISSION * DO 728829 <br />, E; : 20,2011 <br />BOIllIed Thru Nolary Public Underwtilers <br /> <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 permit # or address # clearly shown marked on the <br />deck for each inspection. <br />