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01/21/2010 07:49 FAX Z 001/002 <br /> - ooa <br /> Ci r. r hub <br /> BUILDING DEPARTMENT <br /> RE: Permit <br /> in_vection ?davit <br /> I 4)/ t� 4 .0 licensed <br /> (please print name end a Lip Type) ' as a(n) Contractor* /Engineer /Architect, <br /> FS 468 Building Inspector* <br /> License #; eeG /3 S " <br /> Onorabout / a_ o <br /> X did personally inspect the mot' <br /> (Date & time) <br /> • nailin • • • - seco • • water barrier work at <br /> (circle one) <br /> (Job Site ) <br /> s d c X , � s <br /> Based upon that examination Z have determined the installation was done according to the <br /> Hurricane ■ 'tigation Retrofit Manual (Based on 553.844 F.S.) <br /> ti p„: ture <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this. 1 day of <br /> . 20p' /° <br /> By • <br /> Notary Public, State of Florida <br /> (Print, type or stamp name) <br /> Personally known Commission No.: <br /> Produced Identification MAR H -TERRY <br /> Type of identification produced_ ' ° � ` Nolw ANNA Pe6 • a LYNC wn f flrlde <br /> ,. 7 PA Y Commhefan Expi Aw o 4 <br /> • General, H es on .0 40169 <br /> inspection. Ia Building, Residential, or Roofing Contractor or , • •;. j dual t!B . <br /> deck for each gra of each plane of the roof with i . e . - . t - such an <br /> inspections. op the <br /> - <br />