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08/02/2009 19:58 8136639493 BEAZER HOMES PAGE 01/01 <br /> ,fie + h•, mss. <br /> B i fl DING DEPARTMENT • <br /> RE: 'Permit # q37g 9/17/07 <br /> Inspection Affidavit <br /> 1 th. 1 ejvk.d £ "EJ f rdvc 441 ve ,licensed as a(n o> btracto grocer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> • <br /> License #; C C G / V 7 ? . - ' <br /> On or about 7v1.4 3 l Zoo", /O A lb , Z did personally inspect the roc <br /> Abate & time) <br /> deck nailing and/or secondary water barrier work at 532.`a 17 5+. <br /> (circle one) (Job Site Address) <br /> z e p <br /> }Irk; Its , Fi . % Wf z <br /> Based upon that examination'I have determined the installation was done according to the <br /> Hurricane Mitigati etrofit Manual (Based on 553.844 F.S.) <br /> Signature <br /> • <br /> • <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this 31 ' day of . 2004_ <br /> By th: 4441 ' t "ea. at/04444. <br /> Notary Public,. State of Florida <br /> • N. SUSAN WN I •t/ � &•-4.-0/1r <br /> .�' CD�SSION/ODAl2S37 <br /> a,, yes: n awe 111 06, 2012 <br /> ANN. I40 (Pest, type or stamp name) <br /> 47� Y Pt. �'MIM'Df10M111 N00. CO. <br /> Commission No.: • <br /> Personally known V or <br /> Produced Identification <br /> Type of identification produced. <br /> General, Building, Residential; or Roofmg Contractor or any individual certified under 468 F.S. to make such an <br /> inspection. Include photographs of each plane of the roof witb, the permit # or address # clearly shown marked on the , <br /> • deck for each inspection. <br /> • <br />