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• <br /> City of .Zephyrhfills <br /> BUILDING DEPARTMENT <br /> RE: Permit # Q9E5 / 9/17/07 <br /> Inspection Affidavit <br /> / 7 ftV91() ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and circ e Lic. Type) FS 468 Building Inspector* <br /> License #; e' c_ / ' z S S te $ <br /> On or about / — / — /L , I did personally inspect the roof <br /> (Date & time) <br /> deck nailing and/or seondary water barrier work at <br /> (Job Site Address) <br /> 6O, tp 19 Z 7 - /f5 1Z . <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane Mi _ - : on Retrofit Manual (Based on 553.844 F.S.) <br /> ice <br /> ; e <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this ff day of . 200E o <br /> By <br /> Notary Public, State of Florida <br /> (Print, type or stamp name) / <br /> � p y -TERRY <br /> S yfr 6 <br /> Personally known ,. or r o y � * r� , Notary Public -State of Honda <br /> ,�, y . c My Commission Expires Apr 4, 2012 <br /> Produced Identification N�� o Commission # DD 740169 <br /> Type of identification produced. ', f , ' goner Through National Notary Assn. <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 />