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<br />05/16/2008 08:19 FAX <br /> <br />~001/001 <br /> <br />'.City of ZeRltvrhills <br />BUILDING DEPARTMENT <br />RE: Pmnit# /9"i5" <br /> <br />9117/07 <br /> <br />Inspection Affidavit <br /> <br />I J<~V~~ ~h~ <br />(pleNe prillt lllllDe IIDd circle lie. Type) <br /> <br />tlicensed as a(D)~tr~/Engineerl Architect, <br />4bZS Building Inspector. <br /> <br />License #; c..c...c... \.1,l~ <br /> <br />Onorabout ~/J6/D~ '6'.oO~ <br />(Date & time) <br /> <br />~~/or secondary water barrier work at <br />(d,de o"e) <br />2~j)h.{rh :\\S. f-L. 3.3S~~ <br /> <br />, I did perscmally inspect the roof <br /> <br />$"'~ ~D 6)O4-~ S-+ I <br />(Job Site AddrolMI) <br /> <br />Based upon that examination I have detennined the installation was done according to the <br />. cane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> <br /> <br />STATE OF FLORIDA /J <br />COUN'IY OF taS'CQ <br />Swom to and SUbsCI1"bed before me this IZ-d.ay of <br /> <br />lJ1,.y <br /> <br />.2092 <br /> <br />By <br /> <br />Notary Public, State of Florida <br /> <br />. l4r V L-- ~7 <br />- (Print. type or stamp name) <br /> <br />Personally known Lor <br />Produced Identi.1ication_ <br />Type of identification produced. <br /> <br /> <br />.. General, BuildiD&, :Residartial, or Roofing Contractor or my individual certified 1mdc:.r 468 F .S. to make such 1m <br />inepeetion. !Delude photopaphs of each piau of the roof with the pennit #- or address 'If. e1earl)' shown mBrbd on the <br />deck for eac:h iDlpec:T:ion. <br />