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City ofZephyrhills <br /> t `_ 5335 8 h St` <br /> Zephyrhills.FL 33542 <br /> (8'13)780-0020 , <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.•�..ia <br /> -1 s"s- <br /> I,. 1 �� a-. -k- licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor V Engineer Architect Building Inspector <br /> License No._11o � � <br /> On or about.!,—S - 1E did personally inspect the: <br /> Check: Roof Deck NallingLZDry in Flashing and Drip edge <br /> Check which was used: 30#felt.Peel and Stick—Other(List) <br /> At the fallowing <br /> address; l C . <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 /> Signafiure• <br /> STATE ORIDA <br /> CYNTNIALOUISE CLEMANN I <br /> COUNTY OF PASCO *. MY COMMISSION#FF 968218 <br /> o EXPIRES:March 6,2020 <br /> myrF�r f�Q�� Boneed Thtu BudAat NotaryServia+s � <br /> Sworn o nd subscribed a this day <br /> BY: 1 <br /> i <br /> Notary Pu lic State of Florida <br /> i <br /> I <br />