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1Ct of Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # q 9,Z -1 • 9/17/07 <br /> Inspection Affidavit <br /> I r f c (r � , "ev' ,licensed as a(n tractor*' /Engineer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #-, k ( y± L-I/ <br /> On or about Ils://r' , I did personally inspect the roof <br /> ime) <br /> `eck nailing and /or secondary water barrier Work at j yOJ 5(o v - .04 -it , ,�,�' <br /> (circle- - (Job Site Address) <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane ' tion Retrofit Manual (Based on 553.844 F.S.) <br /> / t <br /> Signature <br /> STATE OF FLORIDA <br /> COUNTY OF ,77 2P /D <br /> Sworn to and subscribed before me this day of . 20% <br /> BY /CSC' GM j/ /,,V . <br /> Notary Public, State of Flo • <br /> ° . ems it / 9 i <br /> (Print, type or stamp name) <br /> Co I, I l' .: I'$OBBIE S. SWETI AN!) <br /> Personally known or z 1 Commission DD 734406 <br /> Expires February 22, 2012 <br /> Produced Identification „ ' ` Bolded nm, Troy Rel,,m,v,a, <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 />