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City of _Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # Q79S 9/17/07 <br /> Inspection Affidavit <br /> I /& /.rl /7/47t ,licensed as a(n) Contractor * /Engineer/Architect, <br /> (please print name and cir e Lic. Type) FS 468 Building Inspector* <br /> License #; P'L'C /,3,2 SSOS' <br /> On or about /z/ , I did personally inspect the roof <br /> ime) <br /> deck nailing and /or secondary water barrier work at <br /> (circle one) (Job Site Address) <br /> 3SW 9M <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> ikt <br /> STATE OF FLORIDA <br /> COUNTY OF / <br /> Sworn to and subscribed before me this 3 day of JeCen/ be' . 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 /> 4 4 ,, ��� ANNA MARIE LYNCH - TERRY <br /> Type of identification produced. t Nolary Put►Nc - State of Florida <br /> ,41 My Commission Expires Apr 4, 2012 <br /> * General, Building, Residential, or Roofing Contractor, ;?� •.ual camilifilitherfieD6Olikflit to ake such an <br /> inspection. Include photographs of each plane of the rod vin • .. marked on the . <br /> deck for each inspection. „ _ <br />