Laserfiche WebLink
Dec 08 09 01:33p Tim Fultz 813- 659 -9069 p.1 <br /> ut VIM/ LUUJ /HUN Uti: AM LENHYSH1LLS BUILDING FAX No, B13- 780-0021 P. 001/001 <br /> • <br /> • <br /> tlf zep ; 'rb~ • <br /> ?JTNG ; 9 '.AR rMENT <br /> • <br /> Q L+ . <br /> RE: Pezmit# t �"� ' I 9n7/07 • <br /> • <br /> anspecbion .tdavit 0 . <br /> I I 1 ryi FT' it z. • ,licensed as a(n . ( ' ntr : - c.. / e er/Architec t , <br /> P Pmt ne me amd cut L Lie. Type) • 4 • . , ding erector* , <br /> License 11-, CCG r 3 ZL/? 74- • . <br /> On Or about he ('ember 7 / A©oq • 1 I did Personally inspecrthe roof <br /> • <br /> (Date & time) <br /> • deck nailing and/or secondary water barrier work at 604- 4 t,C) t in / e t - <br /> (circle one) (lob 58teAddisss) ' <br /> • 7 Olt hi11S. FL , <br /> Based upon that examination 1 have determined the installation was done according to the <br /> Hurricane•tvntigatioD Retrofit Manual (Based on 553.844 F.S.) <br /> om- <br /> • <br /> . Signature <br /> • <br /> • STATE OF FLORIDA. • <br /> COUNTY OF 1 - <br /> Swom and subscribed before me this.. $ day of D Geis, her <br /> 200 <br /> ,p`4$'''' PAM Sattz c osr • N • . - c, State of Florida <br /> r y VW s MY COMMISSION # DO 58899 <br /> 0I1 10 E1tr1RLSc July nZ20IO / <br /> M0, �a607fla flows Slonioacom • .. <br /> . ( Fli n t , t ype b� name _ - <br /> Cadataiasuion No.: <br /> Personalty lm,ovvn _Zor • <br /> • <br /> -. Produced Identification • • <br /> • Type of identification produced. ' <br /> • <br /> • <br /> I' General, or Roofing c ant:tor or ear individual certified tinde 466 F.S. to mate such an <br /> d moeh of mak plaac of Ihb1 DOf with permit 01 or address # clearly stomp marked an lbe - ,' <br /> • <br />