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Jun.05.2018 01:48 PM PAGE. 1/ 1 <br /> M <br /> City of Zephyrhills <br /> r 5335 81h St <br /> Zephyrhills FL$3542 <br /> (813)780.0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: ICY -70 <br /> 1, licensed under Chapter 468,Florida Statutes as s(n): <br /> nglneer Architect Building Inspector Contractor* <br /> License No.eO. 1 �5 9( ' <br /> On or about It)' �� did personally inspect the: <br /> Roof Deck Nailing. Dry In <br /> Check which was used: SO#felt_Peel and Stick Other(List) <br /> At the following <br /> address: 57 4< -n f <br /> i <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscr#bed lae�re this day <br /> CiNTRIA M JEWELL <br /> s'; •'�MY COMMISSION 0 00026898 <br /> Notary Public State of Florida '•., "" EXPI1499 A"UM 2e,Ro2o <br />