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<br />\ <br /> <br />C'.hT IZ' L,' iL"m' <br />\, ll~..';y fOil . 'e~1II S <br />iBlJIiIJDING DEPAR'tfMEN1' <br /> <br />RE: Permit'# ~ -\ ~ 3 <br /> <br />9/17/07 <br /> <br />'.", , <br /> <br />.. <br /> <br />Inspection Affidavit <br /> <br />I <br /> <br />OY\~cJ.I"D ~~z- <br /> <br />,licensed as a(~~Arcbite";' <br />. %8 Building lnspector* <br /> <br />(pleaae print name and circle Lie. Type) <br /> <br />License #;CCCb5&b ~d ~ C2t O;J b33'::> <br />On or about ~ J -=1-1 e) ~ ~ ; ot? Y'M , I did personally inspect the roof <br />(Date & time) <br /> <br />deck nailin~ and/or secondary water barrier work at <br />(circle one) <br /> <br />'S9-~~ I 1: ~ <2st-. <br />(Job Site Addreu) <br /> <br />.'.............- <br /> <br />Based upon that ex <br />Hurricane Miti <br /> <br />ation I have deteImined the installation was done according to the <br />Retrofit Manual (Based on 553.844 F.S.) <br /> <br />Signature <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF . ~ <br />Swam to and subscribed before me this~day of ~~ -:r- <br /> <br />By ().~\.J..l"o' 3,\'\.~z- <br /> <br />.2008- <br /> <br />~ -t\. NolBry Public Slate Of Flortd. <br />~-..6 . AlexenCler SenctleZ <br />~~.:; My Commlllion 00728779 <br />.... o,;....~ ElCllIrea 1012512011 <br /> <br /> <br /> <br />Commission No.: <br /> <br />Personally known or <br />Produced Identification <br />Type of identification produced. <br /> <br />· GeneraL Building, Residential; or RoofiQg Contractor or any individual c:crtifiecJ under 468 F.S. to malce such Bn <br />inspectioo. Include photographs of each pl8DC oftbe roof with the permit # or address # clelll'ly shown mmkcd on the <br />deck for each inspection. . <br />