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4 City ofZephyrhills <br /> .Fl 5335 8th St <br /> : <br /> Zephyrhills:FL 33542 <br /> (813 -0020'.. <br /> ------------ <br /> ROOFINGiNSPECTIONAFFIDAMT <br /> Permit No:; —_ <br /> . . <br /> I, a rW licensed under Chapter 468, Florida Statutes as-a(n):. <br /> Contractor.. Engineer_Architect: - .Building.lnspector_ - <br /> License No.: .�. <br /> 9010 <br /> On or about <br /> did personally inspect the; <br /> -- — Y <br /> Check: Roof Deck Nailing Dry.in Flashing and Drip.edge <br /> Check which Was used: 30#felt - Peel and Stick=Other-(List) - -At the following <br /> address:. <br /> Based:upon that examination, l have determined the.instaliation was done:according.to the Hurricane <br /> Mitigation Retrofit Manual (Based on'Section�553.844;Florida Statutes): <br /> Signature:. . <br /> STATE OF FLOR A <br /> COUNTY OF PASCO <br /> Sworn to a su scribed fare-th' d <br /> BY: <br /> Notary Pu is St o Florida ; <br /> iipv a`Ba, 10Y A.VlTO <br /> Notary Public-StateofFlorida <br /> * ° Commission GG 1141$5 <br /> " 04 M Comm.Expires Aug 3,2021 <br /> s,y OFc Via'. BondedthroughNatcnalNotaryAssa. <br />