Laserfiche WebLink
10/08/2009 15:14 FAX 001/001 <br /> " 1 " 80 - 00a <br /> Qty :oaf Zepbyrhiflls <br /> BUILDING DEPARTMENT <br /> RE: Permit # ci (DOC' 9/17/07 <br /> Inspection Alifidavit <br /> I /1A� ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and ' e Lie. Type) FS 468 Building Inspector* <br /> License #; y' 8 C' 5 ,2 sro S <br /> On or about 1O a 7 p I did personally inspect the me' <br /> deck nailing and /or secondary water barrier work at <br /> (circle one) (Job Site Address) <br /> Based . on that examination I have determined the installation was done according to the <br /> 'came 'ligation Retrofit Manual (Based on 553.844 F.S.) <br /> !�/ • <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this day of a_A . 200 9' <br /> By <br /> Notary Public, State of Florida <br /> fef <br /> (Print, type or stamp name) / <br /> Personally blown or ` =< , New Produced Identification Q ` ' ° F <br /> g M CIIIIawak" E4Mras 4 pr4, t: <br /> Type of identification produced, 1 g 00 mom <br /> " General, Building, Residential, or Roofing Contractor or any individual cards • r men. • uch 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 />