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City iof Zep iyrliills <br /> B. a DING DEPARTMENT <br /> RE: Permit # I O 18 9/17/07 <br /> Inspection .ffidavit <br /> La i C 7 ' <br /> I ' " _��. A " ;licensed as a(njCan • : - • * /Engineer /Architect, <br /> (please • .1 • cle Lic. T • FS 468 Buildin . •:.'•• ector* <br /> tense #; ��,1 1 <br /> On or about f / 7-- 0 7 e` Gb , I did personally inspect the roof <br /> (Date & time) <br /> deck nailing and /or secondary water barrier work at ( [ <br /> g <br /> (circle one) (Job Site Address) <br /> ' • ation I have determined the installation was done according to the — <br /> Based upon 4/. t e <br /> . umc..•- <br /> !; ti , // . .metro . F,1 <br /> . : aced on 553.844 F.S.) <br /> i <br /> IPAggii <br /> STATE OF FLORIDA <br /> COUNTY OF 4 2') Sworn to .>i• d subscribed before me this/ /6 day of / . 200 9 <br /> By Art : <br /> Notary Public, State of Florida <br /> u 6ge <br /> (Print, t e or stamp n. ►'•-) <br /> 'P. <br /> JACQUELIN DO 62 833 <br /> y / Commissio:l <br /> Personally known /� or ' Banded Tnn+ Troy Fein I 701 <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 />