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<br />AUG, 6, 2008 10: 32AM <br /> <br />WA NEUMANN CONST, <br /> <br />/'_fLfl6f5CtlOU/"Y I <br />1P;/tc[!M~)! 1-7~6 <br /> <br />City {of ZephyrmIls <br />lBUlIJDING DEPARi'MENI' <br /> <br />IZJ(NO.4730, p, 1~ J <br />17 ~- /0(/- v.... <br />f'(+fJ <br /> <br />RE: Pemri.t # $/t// <br /> <br />9/17107 <br /> <br />~.."" , <br /> <br />w <br /> <br />hspection Affidavit <br /> <br />I JAJ'I/l/ JtlB'IV/#V/I/ <br />(please print name and circle Lie. Type) <br /> <br />,licensed as a(n) Contractof'!' /Engineer/Architect, <br />FS 468 Building Inspect.or* <br /> <br />\ <br /> <br />License#; L~~/~Z6Ibt <br /> <br />On or about d-?tJ8; 7!tlf)'11 ,1 did pers~y insp~ct the roof <br />(Date & thne) <br />. <br /> <br />deck nailinf and/or secondarv water barrier work at ':>73"1'1 /JEMY./III~ j>Jt. <br />(circle 01le~ (Job Site AQdJ:I:ss) <br />\ "-- . . UIFlYIYlIttf, R- :S"3J"Y1 <br /> <br />Based upon that ccam;nation I have determined the installation was done according to the <br />~) 7; Retrofit Manual ~ased 00 553.844F .s.) <br />,~ . <br />. gnature . <br /> <br />STATE OF FLORIDA <br />COUNTY OF . <br />Sworn to and subscribed before me tbis,L day of <br />By I m-tJK NfVN.I## <br /> <br />. <br /> <br />)fIIPfr, <br /> <br />.200~ <br /> <br />NotaIy Public, State of Florida <br /> <br />DANIEL MY BONEBfWCE,~ <br />iA\. ~NIIc.__d'" ' <br />. IJllL5 1ti~,.,,,,,,~-."2 <br />. ~.No.DDhI804I <br /> <br />~H//Et #~ ~t1A/9QKF' ~ <br />(Print, type or s1mnp name) <br /> <br />Commission No.: DD7180t{S- <br /> <br />Personally known 1.. o~ <br />Produced ldentification...:.- <br />Type of identification produced. <br /> <br />.. Gmczal, Building, Resideatial; or RoofiDg ContrlIctor or any individual cctffied UDder 468 F.S. to make such an <br />inspection. Include photogmphs of each plane of1hc roofwith 1hc permit # or address # clearly shown marked on the . <br />dedi: for each inspection. <br />