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V o City of Zephyrhills <br /> 5335:8"St <br /> ' Zephyrhills FL 33542 <br /> (813) 780-0020, <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> ! I,. U t CA licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor_✓Engineer_Architect_Building Inspector <br /> License No. <br /> On or about a V did personally inspect the: <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 - ( u D(, <br /> address: <br /> &611v r h1 A s 3Mq <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 /> Signatu <br /> STATE OF FLO <br /> COUNTY OF PASCO <br /> Swor to and stibscriNd before <br /> l/\this <br /> pay <br /> BY: 1 <br /> Notary Public State of Florida <br /> ANGELA HAYWOOD <br /> Notary Public-State of Florida j <br /> -°a o•= Commission#FF 912551 1 <br /> My Comm.Expires Aug.24,2019 <br /> "' Bonded through National Notary Assn. <br />