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City.oflephyrhills <br /> ' : . 533 58 St " <br /> .. .Zephyrhills FL 33542 <br /> ROOFING:INSPECTION AFFIDAVIT <br /> .Permit No.: <br /> licensed under Chapter 468; Florida Statutes as:a(n): <br /> . . <br /> ..Contractor:' : ' .'Build' .. <br /> �n sneer_Architect: in Ins ector. <br /> License NoG (3"20131 <br /> On or.about -, 2 did personally'inspectthes' <br /> Check;. Roof Deck Nailing :Dry in Flashing and Drip,edge <br /> Check which was used:- 30#felt Peel and Stick_Other(_List) <br /> At the"following <br /> I <br /> �,: — —�\ <br /> address:. . 2.�:�: -'� .i. a I. STET ON <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 subscribed before this day <br /> : <br /> Notary P blic State of�Florida <br /> ussvtieloNjeuop¢N46noiylPapaog. <br /> IZOZ'S 6ny sandx3 wuioj AW <br /> LZ£8Z19�;uolssiuiwoD. <br /> eppoljjoa"7e3S73140dAMC <br /> 113SAH 71 tl8fltll... <br />