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I <br /> i <br /> City of Zephyrhiils <br /> gn�M1v.. •d�' <br /> 5335 8: St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: '1 0 3 1 <br /> i, Cv-a��1 (a1 (a e ke r licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor✓Engineer Architect Building inspector <br /> License No. CM 13 <br /> On or about 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 <br /> address: Le$ 1 4/�.1�r e- N2-rsct <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 OFftt3it W f)ieVV Sf V%4eV <br /> COUNTY OF fASW®CjWX,VN <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Public State offivr4ehf ht-C W'Tz <br /> -N1C0tt McNALLY <br /> NOTARY PUBLIC OF NEW JERSEY <br /> I.D.#2399958 <br /> My Commission Expires 91212020 <br />