Laserfiche WebLink
City of Zephyrhills <br /> B. I DING DEPARTMENT <br /> RE: Permit # ?'/" 9/17/07 <br /> Inspection Affidavit <br /> I <br /> 5,,-(74 /1t4c. L4 ,licensed as a( Contractor* ngineer /Architect, <br /> (please print name and circle Lic. Type) 'Aiding Inspector* <br /> License #; C C c, 0 S 7 y / � 7 <br /> On or about g/ 1 ( 0 `� , I did personally inspect the roof <br /> ( atbb & time) <br /> deck nailing and /or secondary water barrier work at (, ,29 tfvn 7' f #0 - <br /> (circle one) (Job Site Addresil <br /> 2 -,( i� (( • <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) <br /> /', <br /> Signature <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed me this. 1 9 day of ST . 2009 <br /> By PCB � . <br /> 9-, <br /> Notary Public, State of Florida <br /> (P rint ACQUELI ES <br /> °' ;4 „er e►nber 12, <br /> Commission No. " <br /> Personally known Xj or <br /> Produced Identification <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 />