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I,IAR /23/2028/S1',N ::,..51 PY ZEPHYAHILLS BUILDING FAX No. 813-78C-0:21 P, 001 /001 <br /> • <br /> • <br /> • C r .. 4of Le © Ii,... rills • . <br /> . . B ' 0 1 11 G DFPA.t CMEITT <br /> - RE: Permit t , 953 _ 9/17107. • <br /> . lSpection, Affidavit . , . • <br /> • <br /> 1 )/,‘.,c) /49.471/ ' - FS 468 Building Inspector*. licensed as a(n):Contractor'" /Engineer /.Architect, <br /> - , <br /> • (please print name and circle . Type) .. <br /> • License #; e C e /3a2. S`S7C; 5 = • <br /> On or about Q — 1b 0 'j____� —' X did•personally inspect the ro0 • . <br /> (bate & time) ' <br /> •deck raaili a ndior seconds water barrier work at ;- <br /> . , . (circle one) (Job Site Address) . • ' . ' 5V0V .5 -e ; x , Aj, //s X.. . <br /> Based upon that examination I have deteunined the installation• was done according to the <br /> • . H ' cane Mitigation Retrofit Manual (Based on 553.844 F.S.) • <br /> STATE OF FLORIDA' . • • <br /> • COUNTX OF' _ . 20A • <br /> Swam to and subscribed before uie this. //' day' of <br /> B y — - —~ Notary Public, :State of Florida - • • • <br /> :. . G .; • <br /> - ••• (pest, type or stamp name) .. / . • • <br /> j t rr .""i1-.-rr'ry R.CI'NCH-TERRY • • • • . • P erso n a l kn own ..or ' <br /> '� + No1Mii Pub • SUM, a Florida. . ' . 1 ` •pi 2 <br /> o •: • 'Produced Idero fication 1' i 4, n • *.0 0n$ of Flo r4016 ' ot'2 ' <br /> • Type of identitcationproduced �?,_ ' i w..► ' <br /> * General; $uildiag, Residential; or Roofing dontraetof or any individual. certified 9ader 468 R.S. to r Sdre Such an • <br /> • : inspeodoo. Include photograph! of each plane af'the roof with the permit # or address # clearly shown marked an the . <br /> deck for each raa�pecsioa . • , <br />