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<br />(City (of ,Zephyr hills <br />BUll.iDING DEPARlfMENlf <br />RE: Permit # fJ/8ro <br /> <br />9/17/07 <br /> <br />___ I <br /> <br />t\ j) - Inspection Afiidavit <br /> <br />~P17<)) ?~ ~,licensed8SlI(n) Contractor*iEngineer/Architect, <br />(pI..., print name ODd oUcle He. Type) ~. FS 468 Bwlding Inspector* <br /> <br />License#; C ~~/ 31- S<ff9 <br /> <br />On or about , I did personal1y-insp~lb~ roof <br />(Date & time) -----., <br />_.~ <br />~inf! and/or sei:Qndarv water barrier work at <br />/ (circle one) <br />~- <br /> <br />55/3- S'SIS <br />(Job Site Address) <br /> <br /> <br /> <br />ion I have determined the installation was done according to the <br />fi Manual (Based on 553,844 F.S,) <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />Sworn to and subscribed before me this~ day of <br /> <br />B! ,'12 c ~ J.e /11;- <br /> <br />/kAd'~T <br /> <br />,200# <br /> <br />Notary Public, State of Florida <br /> <br />,4::iA~:'f~~_< ~ACQ~E~INE SOGES <br />(P~~~010 <br />"~, 0; :,,\,,' Bondo<l11lru r- Fain In'uranCll 800-38&-7019 <br />'1011" 'VT <br /> <br />Commission No,: <br /> <br />Personally known .ll--- 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 />