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FROM :LYCANS FAX NO. : 14787451371 Aug. 26 2009 01:31PM P1 <br /> • <br /> City of .fie. ;. Nulls <br /> S. ; DING DE;P_ARTMENT <br /> RE: Permit # 95/..762, 9/17/07 <br /> • <br /> Inspection M idavit <br /> Mike TJ UF1 S f01J ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and circle Lie. Type) FS 468 Building Inspector* <br /> • <br /> License #; S",a' 1J 2 D n='r <br /> On or about /O; oo ISM / 9 _ 09 , I did personally inspect the roof <br /> (Date & time) <br /> deck nailing and/or secondary water barrier work at `p yo /st hamnsi6 T'ak► <br /> (circle one) Address <br /> 3 S_ L-V I' S • <br /> Based upon that examination I have determined the installation was done according to the <br /> Hurricane Mi • lion etr05t 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 60 P° 200 <br /> B ike 7��uvS- d►n <br /> No: a.:. <br /> hIP <br /> ET" 11"111 <br /> n , • QD $74647 <br /> MIN Iwo WWI Ma <br /> Commission o.: <br /> Personally known ✓ or <br /> • <br /> Produced Identification <br /> Type of identification produced. • <br /> * Genial, 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 sparked on the • , <br /> deck for each inspection. <br /> • <br />