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City of Zephyrhills <br /> 5335 8"St <br /> Zephyrhills FL 33542 <br /> (813)180-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: a0 35� <br /> I, C► -Cl C 0 GM a kF ✓ licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector <br /> License No. C[C 1 3 3110"1 1 <br /> On or about 10- A t4- 1 % 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 J Other(List) . <br /> At the following <br /> address. 95q 50 .1-`m 5 + <br /> z-�P.ohn:rh� 1tS F t.- <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 ftefflM N -'ev-S-�-tj <br /> COUNTY OF PASeO- O C.E M r <br /> Sworn to and subscribed before this day <br /> BY: Gji.. <br /> Notary Public-State ofF4Qzlda INe �P_Y� <br /> NICOLE McNALLY <br /> NOTARY PUBLIC OF NEW JERSEY <br /> I.D. #.2399958 <br /> My Commission Expires 91 IMI:. <br />