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• City of <br /> .h ills <br /> • <br /> 5 <br /> .. _ :Zephyrhills-FL:33542 " <br /> (823.)-780 OQ20 . <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:: <br /> ( <br /> f(: <br /> I, licensed under Chapter.45$;.Florida Statutes as"a(n):: <br /> " Contractor Engineer_:Architect Building Inspector.:_" <br /> 'LicenseNo. <br /> 5 <br /> i" <br /> On or about .- 1 a d did personally inspect the— <br /> Rood-D6ck Nailing Dry in <br /> Chec#c which was used: 30#felt :PeeI.and Stick^Other(List)' <br /> At-the following - wk 0 C: <br /> - address: " <br /> Based upon that examination,.l.have"determined.the installat on.was.done according"to the Hurricane: <br /> tMitigation_,Retrofit Manual(Based on Section 553.844, Florida Statutes).: <br /> Signatu :. <br /> STATE OF,FLO IDA <br /> " <br /> COUNTY OF,PASCO." <br /> Sworn t . nd subscr' ed, a are this day: d. <br /> - <br /> BY: <br /> Notary Public:State of Florida: <br /> : . . �� �LA HAY WOOD% <br /> r°o._ `'�'.:Notary PuPA_ PY4blic=State of F{artda: <br /> .. ?:; »• ."Cammissian#.FF 912551- <br /> .�y41 woe: �y"Lamm Ez ires Aug2 2019 <br /> ;o,°,�:�`'� Bondedttirough National Notary Assn. <br />