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07/28/2010 06:40 FAX C{]j001 /002 <br /> 0 <br /> � <br /> � 9 � - -- G �w , PASCO - COUNTY FLORIDA <br /> 1 lit i ;ifl! <br /> \� Building Inspection Division <br /> . ` L ORI V/ <br /> RE: Permit# 1 O 6 Form: 10/01/07 <br /> Inspection Affidavit <br /> I, 4L. , licensed as a(n) <br /> Contractor */Engineer /Architect/FS 468 Building Inspector* License #: <br /> On or about L 1 ?.'1 , did personally inspect the <br /> -Z U t O P Y P <br /> �� - -R of Deck Nailing or Secondary Water <br /> / (Circle one) <br /> At the following address: 3c1.14 23 eq+h Am- , <br /> Z9-4v ic h t 11 S <br /> (Job Site Address) <br /> * * * * * * * * * * * * * * ** ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** <br /> Based upon . ., a i ination I have determined the installation was done according to the <br /> Hurricane M . .n ;" etrofit Manual (Based on 553.844 F.S.) I have included photographs of <br /> each plane • : . o % for each inspection, with the permit # clearly shown marked on the deck. <br /> Mr <br /> Signature 1 1 <br /> STATE OF FLORIDA <br /> COUNTY OFD <br /> Sworn to and subscribed before me this z1 day , `` ` , 2UOe- ZU 10 <br /> By , N k • blic Sat of Florida <br /> (Print, e e . •• stamp name) <br /> Commission No: <br /> .AL <br /> Personally know or ,,,,,, SULANNE DOUGLA -A LLEN • <br /> Produced Identification `i , ,, Notary Public - State of Florida <br /> I -..- ` l, My Commission Expires Oct 25, 2011 <br /> c ' '41" Commission i D0714319 <br /> Type of identification produced: ''' ; - Bonded Through National Notary ASSn., <br /> ira <br /> *General Building, Residential, or Roofing Contractor or any individual certified under 468. F.S. <br /> to make such inspection. <br />