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City of Zephyrhills <br /> a DING DEPARTMENT <br /> .6Ip 9/17/07 <br /> RE: Permit # <br /> Inspection Affidavit <br /> I R i cAa '-ck Ear $` ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #; CCC, ( 3 g 9 <br /> On or about .e <br /> e <br /> deck nailing and /or secondary water barrier work at 3? � i t3 /41- ddress <br /> (circl- . ne (Job ) <br /> • <br /> : ased upon tha -xamination I have determined the installation was done according to the <br /> H . ane • + gation Retrofit Manual (Based on 553.844 F.S.) <br /> 04 op yrA <br /> OF FLORIDA <br /> OUNTY OF <br /> Sworn to and subscribed before me this (vf day of Apr/ / . 2004_ <br /> Notary Public, State of Florida <br /> LINE BOQES <br /> ( Print(' „ it a +:ti•� . rr Id, 833 <br /> �:,1�..4 Thal Expires December 12 201 <br /> C omma e <br /> 'q�, Thal trny i•M Manna <br /> No... <br /> Personally known or <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 />