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O CO <br /> PASCO COUNTY FLORIDA <br /> * V* Building Inspection Division <br /> \ `01/19 <br /> RE: Permit# q(24 Form: 10/01/07 <br /> Inspection Affidavit <br /> I, <br /> 74gAI //iQM4VA , licensed as a(n) Contractor* /Engineer /Architect/FS 468 <br /> Building Inspector* License #: 6 1 - 7 0G/4 . 4 <br /> On or about t g -1 1 , did personally inspect the <br /> Roo Deck Naili o . - on, ary Water Barrier <br /> (Circle one and /or both <br /> At the following address: -' 75'.1 z C ats7Zeacee/zy� ✓ E <br /> LFPH y2 /l /Lcf ,< Sy <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 of the roof for each inspection, with the permit # clearly shown marked on the deck. <br /> ,-- <br /> Si • nature <br /> STATE OF FLORIDA <br /> COUNTY OF /Wee <br /> Sworn to and subscribed before me this <br /> .1 7-4-4 day �d.✓ , 200 <br /> By 74504/4/Evtil.9A Notary Public Sate of Florida <br /> DANIEL RAY t30NEBRAKE, JR. <br /> Notary Public, States d 2012 <br /> (Print, type or stam� w on Na DD799045 <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 />