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City of :Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 9u7 9/17/07 <br /> Inspection Affidavit <br /> • i ; �, <br /> I (. irl' W , as a(n) Contrac of r /Engineer /Architect, <br /> (please print n.. e antic. Type) FS 468 Building Inspector* <br /> License #; <br /> On or about It c, 7, '7 , I did personally inspect the roof <br /> (Date 84me) / <br /> deck nailing and /or secondary water barrier work at Jo. 2- .3 <br /> Iirik , <br /> (circle one) (Job Site Address) / / <br /> Based . e.1 ' ��tion u - ,. . es e I stallation was done according to the <br /> H . ' '' t .4" etrofit Manual (Based on 553.844 F.S.) <br /> i <br /> � is ature isi <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 />