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04/29/2009 08:36 8137801805 BARTLETT ROOFING PAGE 02 <br /> • <br /> • a ' ) PASCO COUNTY FLORIDA <br /> �r* Building Inspection Division <br /> zoRiv <br /> RE: Permit# G INS Q _ Form: 10101/07 <br /> inspection Affidavit <br /> L Ear-1 , licensed as a(n) <br /> - - Contractor *fEngi eerlArchitectiFS 462 Building Inspector* License #: <br /> as D <br /> • <br /> On or about 2816 , did p lly inspect the .11/b <br /> Roof Deck Nailinr or Secondary Water Barrier <br /> (Circle i <br /> A t t h e f o l l o w i n g a d d r e s s : (i 33 th S I v " t oe.k g D t . _ • t o k I �(. 33 0{1 <br /> (Job Site ,Address) a <br /> * * ** * * * * * * * * * * * * * ** ************************** * * * * * * * * * *** * * * * * *‘* * ** * * * * * * ** <br /> Based upon that . . i on Y have Bete wined the installation vw done according to the <br /> Hurricane •fit Manual (Based on 553.844 F.S.) 1 have included photographs of <br /> each • . h: - with the permit # clearly shown marked on the deck. <br /> . ATE OF FLORIDA <br /> COUNTY OF . . - <br /> Sworn to and subscribed before me this , z9 - day 14 ji i I , 2000 q <br /> By C Ud U Notary Public Sate of Florida <br /> • <br /> %nY JACGk1CLINE OGES <br /> (Print, "; . • : 1 621833 <br /> I <br /> -.►�- a: Expires December 12, 2010 <br /> , ;; Ws 0 4.40 ThnA Troy Fun Insurance 800386.7016 <br /> Commission No: <br /> Personalty know )C 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 /> • <br /> . L <br />