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City iof .Zephyrhills <br /> B . .: e , DING DEPARTMENT <br /> RE: Permit # 1G - 1. - 1 1 9/17/07 <br /> Inspection Affidavit <br /> I � � 1 Vc,h Jetr ,licensed as a(n) Contractor* n ' eer /Architect, <br /> (please print name and circle Lic. Type) FS 468 Building Inspector* <br /> License #; C �: f �� : 1 3 _ • <br /> . <br /> On or about._ta- L1-- t.._ -._ _3 at, l 0 , I did personally inspect the roof <br /> (Date & <br /> tune) <br /> - i - h „--.. <br /> ,ck nailing and/or secondary water barrie wo iat 4 c Li - 1 1 (0 , <br /> 7c?rels atiel . (Job Site Address) <br /> ._._ .__.. - -.. -. Zcip iThL1 r ht 11 S {- I <br /> Based lit o. that examination I have determined the installation was done according to the <br /> Hurric. i - ∎ itigation- Retrofit Manual (Based on 553.844 F.S.) • <br /> _____-- il l 1, •. \ - <br /> • <br /> Signs tr ` <br /> �l <br /> • <br /> STATE OF FLORIDA . <br /> COUNTY OF Q..0 1 o <br /> Sworn to and subs« •1ped before me this - day of L, .'200- <br /> By <br /> - ilk• . ' . <br /> 0 ' ' Notary Public, State of Florida <br /> • <br /> (Print, type or stamp name) <br /> ) - <br /> Commission No.: <br /> Personally known OT 7 <br /> • Produced Identification <br /> Type of identification produced. • <br /> * General, Building, Residential, or Roofing Contractor or any individual certified under 468 .S. to make such an <br /> inspection. Include photographs of each plane of the roof with the permit # or address cl ly shown marked on the . <br /> deck for each inspection. <br /> .SUZANPE D00State 0LAS -of ALLEN <br /> • 1� , <br /> ry :Ni. -d an ; <br /> (`/�j )„,:::::i.;,),:.2 t+t NolaY Commiion Expires Oct 25.20 <br /> .d -u� \M 1 {f� <br /> ;, %�o� � Commssion blic # DD714319 Flori <br /> "%4; ,,, Bonded Through National Notary Assn. ,- <br /> • <br /> TOO/100Z XVd 60: TT OTQZ1Z0 /80 <br />