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. . . <br /> i O CO, <br /> ID <br /> * '` i�ii�+ '`. PASCO COUNTY FLORA <br /> 18 a :r Building Inspection Division <br /> 4 oRto <br /> RE: Permit# 89 Fi Form: 10/01/07 <br /> '/ Inspection Affidavit <br /> 1 , "1 kill/04d , licensed as a(n) Contractor */Engineer /Architect/FS 468 <br /> Building Inspector* License #: LCe/3Zti‘j <br /> On or about X'7 , did personally inspect the <br /> Roof Deck Nailing r Secondary Water Barrier <br /> (C ire e one and/or both) <br /> At the following address: ..1 61e 5r <br /> z646 FL 3 3f3fz <br /> (Job Site Address) <br /> *********************************************** * * * * * * ** * ** ** * * * * * * * * * * * * ** * * ** <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) I have included photographs of <br /> each plane f the roof for each inspection, with the permit # clearly shown marked on the deck. <br /> 4 2 2 ' �C� t G <br /> - 4 -Zw t <br /> a —om <br /> Signatu <br /> STATE OF FLORIDA <br /> COUNTY OF P , lSi o <br /> Sworn to and subscri before me this fi t ( day XI / , 20t " f <br /> By ,/ C /.N.1,/ , Notary Public Sate of Florida <br /> DANIEL RAY BONEBRAKE, JR. <br /> 1� Notary Public, State of Rorida <br /> (Print, type or stam . •,' ' ' ' ; My won Expires AIM 15, 2012 <br /> Commission No. DD798045 <br /> Commission No: <br /> Personally know or <br /> Produced Identification <br /> Type of identification produced: <br /> *General Building, Residential, or Roofing Contractor or any individual certified under 468. F.S. <br /> to make such inspection. <br />