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City , of Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 9 2S2— 9/17/07 <br /> Inspection Affidavit <br /> I � 4 M///;-/ ,licensed as a(, ontracto /Engineer /Architect, <br /> (please print name and circle Lic. Type) - - ' , ; : uilding Inspector* <br /> License #; GC0 y64y <br /> On or about / > , I did personally inspect the roof <br /> Kate & time) <br /> deck nailing and /or secondary water barrier wor at 3 30 y B / z t/ . <br /> circle one) (Job Site Address) <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane 't ation Retrofit Manual (Based on 553.844 F.S.) <br /> Signature <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 />