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City Hof Zephyrrh lls <br /> BUILDING DEPARTNENT <br /> RE: Permit # q s c ri l ci-6 PsC N « <br /> 9/17/07 <br /> Inspection Affidavit <br /> 1 � �- �. - W 0 2 -/-/ / 4k as a(n) Contractor* /Engineer /Architect, <br /> (picas p r int name and circle Lie. Type) ,�/ FS 468 Building Inspector* <br /> License #; C (L C o OJ 31 I <br /> On or about i ^ Z Z —.1:77 , I did personally inspect the roof <br /> (Date & time) <br /> deck nailing and /or secondary water barrier work at , <br /> (circle one) (Job Site Address) <br /> V$ 7A .3 q - E.. a_ii-i u . <br /> Based upon that - amination 1 have determined the installation was done according to the <br /> Hurricane Mitig. ` Retrofi Manual (Bated on 553.844 F.S.) <br /> . i'L,ar ` .1,,LdAl <br /> Signature ' <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn and subscribed before me thisy� day of . 200 <br /> €. <br /> By Z JL .Cr 2�V , (00 1 <br /> Notary Public, State of Florida <br /> Min Prosy • ' -22 -o L <br /> Notify Public, Moe *Monde . t, type or . • •. p name) • <br /> . My comet. exp. Match 22.2013 <br /> Comm. NO. DD872975 <br /> Commission No.: <br /> Personally known <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 />