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<br />,JIJRTSDICTION,iOF' YOUR ,CHOICE, <br />, :BtJILD~G'f)EPAR'rMENT <br /> <br />RE:P~#~ .. :. <br />, 'Inspection AffidaVit <br /> <br />9/17/07 <br /> <br />;.e-.1 ~i) ... p..~,Ii~ensedasa(n) =mu:tnr' ~iArchire", <br />(please print name and circle Lie. Type) , FS 468 Building Inspector <br /> <br />License #; <br /> <br />(Date & time) <br /> <br />" , <br /> <br />de~k nailinf!andlor secondarv ~at~ barrib- work at <br />(circle one) <br /> <br />, I did personally inspectthe roof' <br /> <br />On or'about <br /> <br />)S-z-f~(cf#r <br /> <br />(Job Site Address)' <br /> <br /> <br />I <br /> <br />:ti.on I have detem:iined the installation was done according to the <br />ofit Manual (Based on 553.844 F.S.) <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subscribed before me this /8 day, of <br /> <br />L;Jltf-, <br /> <br />. . <br /> <br />.200~ <br /> <br />By <br /> <br /> <br />Co <br /> <br />· .. " BOBBIE S. SWETLAND <br />.: . .. .. .. <br /> <br />: :; Expires February 22, 2012 <br />8ondod ThN TIll'f Fein InIonnco lIIJO.3IlS.7018 <br /> <br />Personally known ~ or <br />Produced Identification <br />Type of identification produced.. <br /> <br />~ Gen~, Building, Residential, or Roofing Contractor ~ my individual certified under 468 F.S. to make. such an <br />mspcction. In~lude p~otograpbs of each plane of the roofwith the pcnnit # or address # clearly shown marl=! on the <br />deck for each mspcction. ' <br />