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<br />. se +- uv .,t, '..."'- \ <br />f/(/(S1 , <br /> <br />,.. <br />, <br /> <br />!City ~of .Zmh~rhills <br />-BUILDING DEiPARTMENT <br /> <br />RE: Pennit # ~ J.. &'-.5 <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br />I ScoTt 131~~tvltlV' <br /> <br />(lllc:8Se print name and Qrcle Lie. Type) <br /> <br />=-- . <br />licensed as a(n~~ngineer/ArChitect, <br />, Building lnspector* <br /> <br />License #; Cc i ~r 1 ~ S- 1- <br /> <br />On or about ~ 0 k' i.4fV\. , I did personally inspect the roof <br />(Date & time) <br /> <br />Gieck nailin~ and/or secondary water barri~work at 3., 3 5~ ~y hL.jS 'h I '( e. , 0 y <br />'-- V-I_I", V-I') - (Job Site Adch'ess) J <br /> <br />Z ~P~'lr-L"l.Ls ( F I <br /> <br />Based upon that examination I have detennined the installation was done according to the <br />Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> <br />~.~ <br />....Signature <br /> <br />STATE OF FLORIDA <br />COUN1Y OF <br />Sworn to and subscribed before me this 9!).ay of ~ ~ k~ . 200 ~ <br /> <br />By S ( a:l::LJSJ (j Lk. MtLV\ . <br />Notary Public, State of Florida <br />C&-u (] A~ Ji" - . vC- <br />(print, type or stamp n':;n-;; /' <br /> <br />Personally knownL or <br />Produced IdentificatioD____ <br />Type of identification produced. <br /> <br />Commission No.: <br /> <br />~ Gen~l Building, Residential; or RoofiDg Contractor or IIllY individual certified under 468 F.S. to make such an <br />mspect1on. Include pbotogxaphs of each plane of the roof with the permit # or address # clearly shown IJlllt"ked on the <br />deck fOT each inspection. <br /> <br /> <br />.' " ':r~ CORI ANN KEOUGH <br />$,' NoIIIy PubIc - StIlI d FbfdI <br />. ~ ComnlIIIIDn e...- AcID 17. 20'0 <br />~ CammIIIIon . DO 5Il85llS <br />.. .r#"~ Bonded By NIl....., NaIIIy ANn. <br />