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City of :Zephyrhfills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 953 6 9/17/07 <br /> ;Inspection Affidavit <br /> 7 t2 1 ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print n e and circle Lic. Type) FS 468 Building Inspector* <br /> License #; 9 <br /> On or about '- CO O/ , I did personally inspect the r <br /> (Date & time) deck nailing and /or secondary water > ' "er work at 6,3 _� \ te Ad <br /> (circle one) <br /> (Jo ) <br /> -..11111 ‘ .1°1-.'' 0 e' • <br /> Based upon sat e . IS ' 1 ationI have determined the installation was done according to the <br /> Hurricane • 4 •tion Retrofit Man • I - • e on 553.844 F.S.) <br /> adrifAar ."' <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this. / 0 day of , br . 200f <br /> By 9 /6) <br /> Notary Public, State of Florida <br /> O�`b'' Y JACQUELINE BOGES <br /> _ . Commiooion DD 04833 <br /> (Prim; -.. ,. ;flpetaib 2, 2010 <br /> .. Bonded Thnr Troy No Insurance 800. 386.7019 <br /> Commission No.: <br /> Personally known I or <br /> Produced Identification <br /> Type of identification produced. <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 />