Laserfiche WebLink
City of Zephyrhills <br /> BUILDING DEPARTMENT <br /> RE: Permit #/003 J 9/17/07 <br /> Inspection Affidavit <br /> I � ti \ a ^11:4 ,licensed as a(% Contractor* ngineer /Architect, <br /> (please print name and circle Lic. Type) " ' • :: uilding Inspector* <br /> License #; CC L OS 1 5 1 <br /> On or about 2— -- )//0 , I did personally inspect the roof <br /> a tr. &_time <br /> deck nailing and /or seconds vga t r barrier work at 3 cl 3 / 9 rk (-Lk-) <br /> �Ircle ane,L . J (Job Site Address) <br /> Z e tl / /_f l <br /> • <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 /> G <br /> Signature <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Sworn to and subscribed before me this /S day of . 2000 <br /> By A . <br /> Notary Public, State of Florida <br /> (Pent, type or stamp name) <br /> Commission No.: <br /> Personally known ,Kor <br /> Produced Identification - <br /> Type of identification produced. ;� <br /> 'tip ;,_ BOBBIES. SWE i /.AND <br /> . , 06 * General, Building, Residential, or Roofing Contractor or any indi Y:;�i't i eS F • h an <br /> inspection. Include photographs of each plane of the roof with the p- t oraa �� �� on the <br /> deck for each inspection. <br /> • <br />