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JAN -12 -2010 14:50 YOWELL'S ROOFING 8139486102 P.01 /01 <br /> • <br /> City of Zephyrhills <br /> B.: I . DING DEPARTMENT <br /> R E: Permit # 9/51 9/17/07 <br /> :Inspection Affidavit <br /> I Ul A � � 0 cA, <br /> ,licensed as a(n) Contractor* <br /> a() /Engineer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #; C 0 5' 7 5' <br /> On or about l 7 aay0 , I did personally inspect the roof <br /> (Date & time) <br /> deck nailing and /or secondary water barrier work at ( 15 "tS (51 )S-5 &I ( 7 <br /> , <br /> (circle one) (Job Site Address) <br /> elite) . t -5.3$ t <br /> Based upon that - • on I • e determined the installation was done according to the <br /> Hurricane Mitigati. - ' eta . anual (Based on 553.844 F.S.) <br /> Signa <br /> • <br /> STA ' OFF 4 RIDA <br /> COUNTY O r tg1/4_, <br /> Swomto and subscribed before me this. ay of . 20 ID <br /> By 0��".� �' / ( /) a . <br /> N. • , Public, Sta - o Florida <br /> ' ii / ( <br /> 'riot, type or s . — PAM M. EDRI6 <br /> r A MY COMMISSION # DD 605671 <br /> Commission No ' - ., • r t EXPIRES: October 16, 2010 <br /> Personally known or <br /> I - s <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 /> TOTAL P.01 <br />