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City -of .Zephyrhills <br /> : BUILDING DEPARTMENT <br /> RE: Permit # 9/17/07 <br /> Inspection Affidavit <br /> 11 1 <br /> I A <br /> i • 0_ ��rr f ,licensed as a(n) Contractor* /Engineer /Architect, <br /> ■ . lease print n. • e ancircle Lic. ype) FS 468 Building Inspector* <br /> License #; <br /> On or about �2 ( 7 o , I did personally inspect the roof <br /> I( <br /> & ' e) <br /> deck nailing and /or secondary water barrier work at 3 rf LEO — A 4 <br /> (circle one) (Job Site Address) <br /> Based upo ,, :t examination I have determined the installation was done according to the <br /> Hurric. • /i , on Retrofit Manual (Based on 553.844 F.S.) <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Swo _to and subscribed before me this /1 day of -e." R-- . 2002 <br /> BY idhlei b 9 T7 • <br /> • I • ' ublic, State . I Flori 41 7 <br /> ' rint, type or stamp nam <br /> Comm s ■ . N.y ()BOBBIE p. SWETLANn <br /> Personally known or ,•. t emission DD 734406 <br /> ; - Expires February 22, 2012 <br /> Produced Identification „,; Bonded MN 'Boy Fan Insurance 800- 385-7019 <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 />