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City of Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit # 9 £ 9/17/07 <br /> rin inspection Affidavit <br /> ,licensed as a(n) Contractor* /Engineer /Architect, <br /> lease print n e an d circle Lic. Type) FS 468 Building Inspector* <br /> License #; <br /> I did personally inspect the roof <br /> On or about � � , P Y �P f <br /> �e : time) <br /> deck nailing and /or se dary water barrier work at oQa -- <br /> - /I L Se <br /> (circle one) (Job Site Address) <br /> Based upon ;ft examination I have determined the installation was done according to the <br /> Hurri . s . % (gad , . . a etro ' ual (Based on 553.844 F.S.) <br /> rei,-, i / <br /> v/ <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subs . • - • • - ere me this day of <br /> 6?-1-1 <br /> . 200 <br /> BY ,,r I-d' h if4 _AIX <br /> lic, State o lori <br /> (Print, type or stamp name <br /> Commission No.: <br /> ersonall or " BRIE S. SWEII.AND <br /> Pro uced Identification z 4 COmmission DD 734406 <br /> , = Expires February 22, 2012 <br /> Type of identification produced. � ', : .:,. wnI.u.MOee00ae5 <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 />