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<br />RE: Permit # <br /> <br />City ~of .ZepbyrbiIIs <br />,BUILDING DEPAR'ifMENT <br />~~/v <br /> <br />9/17/07 <br /> <br />Inspection Affidavit <br /> <br />rfJ~D JJ~r <br /> <br />(please print name and circle Lie. Type) <br /> <br />,licensed as a(n) Contractor* /Engineer/Architect, <br />FS 468 BUilding Inspector* <br /> <br />License #; <br /> <br />, I did personally inspect the roof <br /> <br />On or about <br /> <br />(Date & time) <br /> <br />deck nailing and/or secondary water barrier work at <br /> <br />Leph, /t( (;;) 4t 3 3~-'fv <br /> <br />3 91 </1 /11ecdfflJ rfJd If <br /> <br />(Job Site Address) <br /> <br /> <br />ation I have determined the installation was done according to the <br />annal (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 />By <br /> <br />.2008 <br /> <br /> <br />Personally known N or <br />Produced Identification <br />Type of identification produced. <br /> <br />Commi '''~oJ~CQUeLINE SOGes <br />al \~ Commission 00 ~21833 <br />\~'. ,:. Expires December 12, 2010 <br />...tiff.J\\' " 11M611d 1'l\IIIt,~y ~lln IllIurll1C9800-385-7019 <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 pennit # or address # clearly shown marked on the <br />deck for each inspection. <br />