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Cit. Cxty iof Zepbyrbills <br /> BUILDING 3 ; EPAR 1 NT LI <br /> RE:'Pemiiti g � � ,�0 Lc1,4 O 9/17/07 <br /> Inspection 'al davitt <br /> I ( €z <br /> (plc c E • (ti 2-4 licensed as a(n) Contractor* /Engineer /Architect, <br /> tname and circle Lic. Type) FS 468 Building Inspector* <br /> • <br /> Pt'L► <br /> License #; C. (e 40 / ro 3 -1 / . <br /> On or about ? .- 2. o ( , I did personally inspect the roof <br /> (Date & timo) <br /> deck nailing and /or secondary water harrier work at _ <br /> (circle one) .4 (Job Site Address) . <br /> ;T. a t_ 17`5,. 2 SUS . <br /> Based upo . that examination 1 have determined the installation was done according to the <br /> Hurrican= tigation Retrofit Manual (Bas - d on 553.844 F.S.) <br /> ■ <br /> 4 . . <br /> Signa i e , <br /> STATE 0 • FLORIDA <br /> COUNTY OF fk--S <br /> Swoirn•to d subscribed before me this -a of • . 2001 <br /> By i./T - - (I 2-i-I( <br /> Notary Public, State of Florida <br /> JAN ban' •, . . 9-2z ^ o 7 <br /> Noa,ly Public, State o! Florida ' xint, type stamp name) <br /> My comm. exp. March 22, 2013 <br /> Comm. NO. DD872975 _ <br /> Commission No.: <br /> Personally known V 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 plant of the roof with tho•permit # or address If clearly shown marked on the <br /> deck for each inspection. <br />