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City of Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 9/17/07 <br /> Inspection Affidavit <br /> I � �.. , rcensed as a(n) Contractor* /Engineer /Architect, <br /> ,. lease print n. - and cle Lic. Type) FS 468 Building Inspector* <br /> License #; <br /> On or about Mai , I did personally inspect the roof <br /> (Date . i -) ' / <br /> deck nailin and /or secon a • ter barrier w . rk at 3 ? _ � . c <br /> irktp '41111 .. AL A . <br /> one) I / I rf / <br /> Based up F th. t a v • ation I hav4determined the installation was done according to the <br /> Hurricane Y' :: • Retrofit Man . a' :.. • • n 553.844 F.S.) <br /> � �/ <br /> 'r. ature , i f <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this day of . 200 <br /> By . <br /> Notary Public, State of Florida <br /> (Print, type or stamp name) <br /> Commission No.: <br /> Personally known 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 /> • <br />