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City"of Zephyehills. <br /> 3S 82h St <br /> : Zephy hills !`L:33542. . <br /> . . : . . . • . . {813}.780-0020 <br /> .ROOFING INSPECTION AFFIDAVIT" <br /> Permit No::: . . . .. <br /> s• licensed under Clia" te�.468`Florida Statutes as a(n):: . -. <br /> 'Contractor Engineer - -.Architect Building Inspector. <br /> License_N0. CcG l� <br /> :On br about " �, �.�1:a did pe Hall"y inspect the:: :. <br /> ✓' .. . . i <br /> :: :. • . .,: :Roof;Deck Nailing : .. . Dry m : ; : . : • <br /> Check whidh was used: ;:: 30#felt=Peel.'and Stick : Other{List) <br /> At the following <br /> address:.... 7C7 <br /> Based upon that examination,,I:have•determined.the installation.was.done�according,to the'Hurricane: " <br /> M1tigatlon.,Retrofit Manual(Based on.Section 553,844,'Florida Statutes);-':. <br /> Signature: <br /> STATE OF,FLORIDA. '.. <br /> COUNTY OF PASCO.. <br /> 'Sworn to.'and subscrib d'before this day::... <br /> BY: <br /> Notary Public:State of Florida- <br /> JUS_m LL <br /> Yp, #_ LL <br /> MYCOMMIJUSSSION#FF 63197: <br /> xQA EXPIRES:September 25,20t8' <br /> .°•+Fdd�na.`'�. t30f ded TAIUIIi)f5ly PUb�{C 11rld211MrIt0I5 <br />