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<br />'H_H"---'-' ..H_ ._.,. H__ _. HM. <br /> <br />City of Zephyrhills <br />BUILDING DEPARTMENT <br /> <br />RE: Permit # 793 L/ 9/17/07 <br /> <br />Inspection Affidavit <br /> <br />1 Scott Blc<c "-IMQ~ <br /> <br />("lc:llSe prillt name and circle Lie, Type) <br /> <br />,licensed as a(~ontr~/Engineer/ Architect, <br />FS 468 Building lnspector* <br /> <br />On or about <br /> <br />cc.O!; 7 7~7 <br />G/7 Joy <br /> <br />(Date & time) <br /> <br />, I did personally inspect the roof' <br /> <br />License #; (' <br /> <br />(;;;;'~ili~" aruJ7;;;:;econdnry water barriir ork at (j; [:; 2-9 Fax WI oOY" Or- <br />-- (em,it. u...~) ..' (Job Site Address) <br /> <br /> <br />I <br /> <br />Based upon that examination I have determin~ the installation was done according to the <br />Hurricane Mitigation Retrofit Manual. (Basedion 553.844 F.S.) <br /> <br />~ ~//;' <br />Signature <br /> <br />ST ATE OF FLORIDA <br />COUNTY OF -t~ , \ I <br />sw~o and subscribed before me tbisllL day of ---UJ.]Y\ e . 200 Z <br />By ~ COt!- rn 1.R ck ~a,h . <br />Notary Public, State of Florida <br />0v'~~ <br /> <br />(print, type or stamp name) r-- <br /> <br />Personally known Lr <br />Produced Identification <br />Type of identification produced. <br /> <br />Commission No.: <br /> <br />.. General. Building, Residential, or Roofing ContraCtor OT my individual certified under 468 F S to ale _L <br />. . I I d h f ' .. m esu....' lUJ <br />mspCCtlon. nc U e: p otographs 0 ClICh plane of tile mofwith the permit ~ Ot' addJe8ll # clearl h Ilrlc.ed th <br />deck for each inspection. Y S own m on c <br /> <br />-= 'CClRI ANN ICEQIBf <br />..., NIc - ... II..... <br />. . c..... 11.........11... <br />a....' I..,IDD_ <br />............ ... <br />