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City of:Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> 780-0020.. . <br /> -.ROOFING:INSPECTION AFFIDAVIT <br /> Permit No.::. .��}(p�� <br /> I; (®Nv' licensed under Chapter 468; Florida Statutes as.a(nj:. <br /> . . <br /> Contractor_Engineer_Architect_,Building.lnspector: <br /> License No.:1CCC(-3 ai?3 <br /> On or about .did personally,inspect the: <br /> Check;. Roof Deck Nailing' _. ,Dr in Flashing and Drip.etlge <br /> y <br /> : =Check-which was"used: 30#felt Peel and'Stick_-Other(List)MI1tio : <br /> At the+following , <br /> address:. <br /> ,Based upon that.examination, l have determined the installation was done:accordingIo the Hurricane <br /> Mitigation Retrofit Manual(Based on Section.'553.844;Florida Statutes), <br /> Signature: <br /> STATE"OF FLORIDA <br /> CO U NTY OF PASCO . <br /> worn.t subscribed before'this day'. .: .. <br /> ' ""'''• JE331CA CLYATT' <br /> BY:. = MY COMMISSION#GG014790 <br /> .. . ':;E;F,,,•, S July 24;EXPIRE 2020 <br /> Not Public State of.Florida _ <br />