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7 <br /> City of Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 1 ((' 9/17/07 <br /> Inspection Affidavit <br /> I C- 5 1 , , ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #; CC <br /> On or about 1' 1 / i 0 f :39 P '"1 , I did personally inspect the roof <br /> (Date & time) <br /> deck nailing and/or secondary water barrier work at 9 0 y Li So i 4,, <br /> (circle one) r (Job Site Address) <br /> 80-F 0 U + r <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane Mitigation Retrofit M•....: (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 j fiNVON.1 10 <br /> By COAA S Hwy <br /> Notary Public, S - - . F ri • - <br /> 4. , s t , type o . lip • . e) <br /> Conzmissio s , o.: <br /> Personally known or <br /> Produced Identification <br /> Type of identification produced. P (7 <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 />