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09-9167
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09-9167
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Last modified
1/13/2011 3:40:34 PM
Creation date
1/13/2011 3:40:33 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9167
Building Department - Name
PEARSON,PHYLLIS & JULIE
Address
6118 18TH ST
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f)60.-002-1 • . <br /> , • . <br /> • - <br /> City of Zepity s <br /> B.' DING DEPA.RU'NEENT <br /> • . <br /> RE: Permit # c i 10 7 9/17/07 <br /> . . <br /> ' I aspection Affidavit - <br /> I MI (jleiel L . K.cl-F <br /> ,licensed as a(n) Contractor* /Engineer/Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License 44; Ce..LC51 ( 1 1 1 1 <br /> On or about 1 , '200 . 6 fil.) , I did personally inspect the me <br /> . (DatCsmi za <br /> deck nailing an or econdary -water barrier work t ONS i8 ef-qe=1- <br /> .( le e) (lob Site Address) <br /> ph 9 i/� . 33542,- <br /> • <br /> Based upon that examination 1 le ave determined the installation was done according to the <br /> Hurricane Mitigation Retrofit NJ anual (Based on 553.844 F.S.) . <br /> fY1 )1-441.--k <br /> Signature <br /> . • <br /> • .. <br /> . . <br /> STATE OF FLORIDA <br /> COUNTY OF ' • . 1 IU <br /> Sworn to and subscribed bd. e me this- day of ()L... . 204_ <br /> By <br /> 4 Notary Public, State of Florida <br /> 5+61.14 ki c I v ett <br /> . . <br /> (Print, tor stamp name) <br /> . . <br /> . . Commission No.: DO a.40-•- <br /> Personally known i or . <br /> Produced Identification • <br /> Type of identification produced. . . <br /> * General, Build' Residential, or Roof ing Contractor or any individual certified under 468 P.S. to make such an - <br /> • - inspection. Include photographs of each plane of the roof with the p the . <br /> deck for each inspection. <br /> STAGY M. NOVELLI <br /> • • A Nolan' Pubic - State of FIefida <br /> . i• A .,11■4y Commission Expires Jun 15, 2009 <br /> 1 ,0 1 %.,-5.."-_. 0 ,AS Commission If DD 4.41242 <br /> - :::" Bonded 13;# National Notary Assn. <br /> • _ <br /> I • al XUd 13C836U1 dH ST:6 6002 20 unC <br />
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