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City of Zephyrhills <br /> B. DING DEPARTMENT <br /> RE: Permit # (i7 9/17/07 <br /> Inspection Affidavit <br /> / � <br /> I <br /> `% ��/ ,licensed as a(n) Contractor* /Engineer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #; 2—S( f <br /> On or about 6 <br /> I did personally inspect the roof <br /> • <br /> (Date & tim) <br /> Gonda .2- .3'—' �t <br /> deck nailing and /or secondary water barrier work at 3 . <br /> (circle one) Job Site <br /> + Address) • <br /> Based upon that eS•� ation I have determined the installation was done according to the <br /> Hurrican71 • ' �� ►'an er ased on 553.8_ .S. <br /> Siu• <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn o and subscribed be re me this 24 day of / . 200 <br /> By X! �-2 <br /> I <br /> Notary Public, State of Florida <br /> ei''' JACQUELINE BOGES <br /> (Pry: ' 833 <br /> h pires becember 12, 01 <br /> 1 " 1' o Ex ded s nc i r l el oer 1 %%4 <br /> 9 <br /> Commission No.: <br /> Personally known /O 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 /> • <br />