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i <br /> City of Zephyrhills <br /> F:4UH111;fl p, 5335 8"St <br /> Zephyrhills FL 33542 <br /> (813) 780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.y/!�'v-5nq <br /> licensed under Chapter 468, Florida Statutes as a(n): <br /> i <br /> Contractor_Engineer_Architect_Building Inspector_ <br /> License No. GCS /� 7 5oZoZ• <br /> On or about /l�f _ ��^ /9 did personally inspect the: n� <br /> Check: Roof Deck Nailing / Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List) z/tT <br /> At the following <br /> address: Z/Fz19 �7`f/ T 77 <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual (Ba§BAon Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORID 'L <br /> CO U N 0 PrASCOF <br /> .worn o and subs rib befi.ar-e-this day <br /> Y: 4 X3 <br /> Notary Public State of Florida <br /> o� JENELL SMITH <br /> NOTARY PUBLIC <br /> _STATE OF FLORIDA <br /> Comm#FF149272 <br /> ° Expires 8/10/2018 <br />