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City of :Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 931) 9/17/07 <br /> Inspection Affidavit <br /> ci ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #; k c oo V o y/ <br /> On or about 9 /5 09 , I did personally inspect the roof <br /> (Date & time) <br /> deck nailin f and /or seconda water barrier • S7 3S 2_D <br /> (circle one) (Job Site Address) <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane ■ :gym gation Retrofit Manual (Based on 553.844 F.S.) <br /> Signature <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this day of 2009 <br /> By (_,"}?(//x) <br /> Notary Public,, State Flori <br /> (Pant, type or stamp name) <br /> " " • S SWETLAND <br /> :: `Commis§ ion DD 734406 <br /> Personally lm__ or a Expires February 22, 2012 <br /> Pro a uced Identification � -R ,, . 4 ` Sanded Th'u Troy Fain Instance 800- M5-7019 <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 />