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<br />Wf(b.}-~ <br /> <br />\City ~of .Zephyrhllls <br />;BUII1DING DEPAR~MENT <br /> <br />RE: Pennit# (J 12 ;?-' <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br /> <br />I~ ~ ]5 ~,licensed as a(n) Contractor* IEngineerl Architect, <br />(pleas~ print name and circle Lic. Type) FS 468 Building Inspector* <br /> <br /> <br />License #; <br /> <br />On or about <br /> <br />, I did personally inspect the roof <br /> <br />water barrier work at 3 I (Q \f1) <br />(Job Site Address) <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF' . <br />Sworn to and subscribed before II!: this 2- if day of ~u..ll <br /> <br />By ~'c~,J ~~!ecfl- . <br /> <br />Notary Public, State of Florida <br /> <br />. 200..s <br /> <br />(prin~" ,....,,". :flr~ llIAnllp) <br />..tI' 'Il' Com' ~ES <br />. :, .i mISs/on DO 621833 <br />C ~1!. . expires December 12, 2010 <br />omnli 'N8f~ ThSV Ftm ,,,.."""'" ~ 31' i'elAo <br /> <br />Personally known KJ or <br />Produced Identification____ <br />Type of identification produced. <br /> <br />* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an <br />inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the <br />deck for each inspection. <br />