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<br />. T)80 -.o~\ ,', <br /> <br />. , <br />, <br /> <br />.JlJRfSDlcnON:iOF YOUR ~CBOICE'.' , <br />. ",BtJIDDING'f)EP.AR['l\.fEm <br />. .. <br /> <br />'~; Pmnit4# 'lCJcJS' <br /> <br />. , ' <br /> <br />9/17/07 <br /> <br />., <br /> <br />insD~ctiOD AffidaVit' <br /> <br />.1 kcJ/~'~ ~~~~ <br /> <br />(please p1iDt JIIIP IIIld cirdll Lie. Type) <br /> <br />, . <br />,liccmse,fas a(n) CoJitractcr'" lE:Dgineer/Architect, <br />. I 'FS 468 Building lDsp~ctor:* <br />" <br />, <br /> <br />.' <br /> <br />LiCllDSe #; c:' ~ \ '"Qs-s-a) <br /> <br />On orabout p/;;rr ~rz 'LJ.~ 00 PM' ' .:i did ~~y iDspect1be m!Ji' <br />.' , (DaUl time)' : , <br />~dI",~";"';"'~wmjut <q~." .AtI/Al.~["fa:, <br />~(~ane)' ,: (JobSB.AddJw&).- <br />gj)h'ir\..,\\), '~..5b~~ ' <br /> <br />, '. <br /> <br />Based upon that ~1n'\"I;"A.tion I <br />B . <br /> <br /> <br />the iDstallation was done according to the <br />(Baed 00553.844 F.S.) <br /> <br />Signature <br /> <br />STATE OF FLORIDA <br />coUNTY OF' , <br />~~~mothis~dayaf .~ <br />By,,;? '. ':.' .', . <br />, I Nc1aly Public, State of Florida <br /> <br />. 200..l <br /> <br />-'~~ Nolary PublIC SI.1e 01 FIO'!'dll! <br />!.. . . Chlil1ll" RYfTla" <br />.~, ,4 ~ Comml"1orI D0761810 <br />~tH...' Ellplru 0112412012 <br /> <br />, ~~~~\o.- ~~ <br />(Print, tJpe or stamp name) <br /> <br />CnftW7t;..s.j~ No.: <br /> <br />Pemcnally known:.>(' . or <br />P:roduced Idmltifil"'~ <br />Type of ~mtification produced. <br /> <br />~ GtID=U, ~ ~ ar1loofiq- C'.oIInc:IDr br au,y iDdividIIal c:crti:fied ~46B F.5.1D ~am;h loll <br />iDlpec:ticm.lzIcluOll photo..... of aaah JQDa of.1tIa ruofwi1tl1b8 pcnIIit_ or.wr.. # ~ IIIDwG mmDci a:u the <br />dc.l:k m- -=h iDSpec:tiolL. '. I <br /> <br />ZOO/Lool8 <br /> <br />xv~ LL:PL 8002:/92:/90 <br />