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City of Zephyrhills <br /> . : . 5335 8th St <br /> ;• Zephyrhills FIL 33542 <br /> - '_R� (813)780-0020 <br /> � 9 <br /> f <br /> vt• <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: &o-.j�3 <br /> I,fv�nrkts licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector_ <br /> License No.e_r 1. ,;Lw8-43 <br /> On or about Ib1 Z�/ did personally inspect the: <br /> Check: Roof Deck Nailing V Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick ✓Other(List) D oZo' U <br /> At the following <br /> address: -549-1'5 ' KY Df Z�p� <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 nd subscri befoW�hlayW, <br /> BY: <br /> of ry P, blic State of Florida <br /> JENNA M WALDRON <br /> �o �• Commission#GO 181727 <br /> N� �� Expires February'1,2022 <br /> ilo, ►� ftewTtouPw wwySwoon <br />