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<br />tCity {of .Zepbyrhills <br />:BUILDING DE;PAR~MEN'if <br /> <br />RE: Permit # t6 (l.{ q . <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br /> <br />,licensed as a(n) Contractor* /Engineerl Architect, <br />FS 468 BUilding Inspector* <br /> <br /> <br />License #; <br /> <br />deck nai . <br /> <br />ation I have determined the installation was <br />o t .44F.S.) <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subscribed before me this_day of <br /> <br />.200 <br /> <br />By <br /> <br />Notary Public, State of Florida <br /> <br />(print, type or stamp name) <br /> <br />Commission No.: <br /> <br />Personally known 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 />