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�3 <br /> 00 <br /> 00 <br /> Ua <br /> City of Zephyrhills <br /> 1h St <br /> 2 5335 8 <br /> .. ..... Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> licensed under Chapter 468,Florida statutes as a(n): <br /> Contractor_Engineer—Architect—Building Inspector <br /> LicenseNo. Q <br /> On or about Z did personally inspect <br /> Check: Roof Deck NailingL Z. Dryy.in personally <br /> and Drip edge <br /> Check which was used: 30#felt- Peel and Stick- ---Other-(List 1/0 -t-; <br /> At the following <br /> -W73 qL 1 AL address 1� 1 & qo ! � Ajhilrs- <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> Mitigation Retro nua ed o n 553.844,Florida Statutes). <br /> ti <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to andstibscribed bef" is ay <br /> BY: <br /> Notary Public State of Florida <br /> �D <br /> is <br /> v <br /> Ya` <br /> L <br /> A <br /> WoAU J <br /> �N K S <br /> OLA <br /> MycoMMisStoN 4 F 92881 <br /> 5 <br /> EXPIRES October 19.2019 <br /> Igp7) <br /> Fbiidallotary$arvice.c , <br /> tz! <br />