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City of Zephyrhills <br /> 5335 81h St <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 Z Engineer!Architect_. Building Inspector <br /> License No. O <br /> On or about did personally inspect the: <br /> _ <br /> Check: Roof Deck Nailing Dry in _Flashing and Drip edge fig K � <br /> Check which was used: 30#felt Peel and Stick VOther(List) C <br /> At the following ,, ii <br /> 4 <br /> address: 0 " 4" v <br /> P—tAi LS 1 IF L- <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 /> Signatur o4li - - <br /> STATE F ORIDA <br /> COUN OF PASCO <br /> Sworn to and subscribed before this day <br /> BY <br /> Notary Public State of Florida <br /> V01rEA4$Mn <br /> Commk$10h#GG 149M <br /> Explre9 Cktober 10,2021 <br /> .Y �r+�GI�ML�' Botd�dlMilizl6l�ttJaWtYfilkMi .J _ <br /> . k <br />