Laserfiche WebLink
<br />PleAs,.< . ~ I--:- V,P ~y hkA-/'. <br /> <br />,JURfSDICTlON,iOF' YoUR "CHOICE. <br />:.BlJDjDING'~EPAR1'MENT <br />, . <br /> <br />. RE: ~emrit# KIJ/ iz. (gOt2) 9/17107 <br />'lnSDectioD AffidaVit' <br /> <br /> <br />. . .' <br /> <br />.I SUJ tt ~ \G...~WtQ.~ . . . .J.i~'as a(n~~ tEngineeriArchitect, <br />(pleaseprimJllllDC aDd cixclcLic. Type) · 'FS 468 Buildwg lnspector:* <br /> <br />License #; CC.c.C1i7 9 ~7 <br /> <br />On or'about '7/2-/0 ~ ~ ~J ~ personally inspect.the!!lIlt <br />. . Ife&moc) ,. <br />decknaili"and/orse~o ~ter bCD'rie,.' orkat (c 25:? 1+v (\ +;'11" hll'l Ov- <br />110M' . (Job SitcAddr.s). ~ <br />2;c..f?~~V'\;t j.'U~ ,~I 33~t.fL <br />Based upon 1hat eJ"mn;nation I have c:lettmDined 'the installation was done according to the <br />Hurricane Mitigation ~fit Manual (Based on 553.844 F.S.) <br /> <br />_tf{';. ~ r~ <br />"Siaaature <br /> <br />STATE OF FLORIDA . . . <br />COUNTY OF ~ J \ <br />Sworn to and subscribed before me this ~d;,.y.of 0 J <br />BySCOtT /1!CL~ifJ/l-dW '. <br />. ' No!atY Public, State of Florida <br />Uv. aw.-,~. <br />(Print, type or stamp name) <br /> <br />.200~ <br /> <br />Personally kDownLor <br />Produced ldea:rti:fication <br />Type of identification produced.. <br /> <br />'" G=--1. Bun"" P.aidc:alial, or RoofiDs CoIIDKfM~ my iDdividJaal ~ed 1IDda'468 F.S. to mUe.mch_ <br />iDspcdion. lIIchIde pbotop1lJlbs of eIIClh plaDc of1he toofwi1h die pendit # 01" &dd2alI-# claalY sbDWDlIIIIdcIrd OIl 1bc: <br />ckclc tor each iDEpcleQon. . <br /> <br />Coynft1;S:s10D. No.: <br /> <br />, . <br /> <br />