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City,ofZephyrhills <br /> 5335 81'St <br /> Zephyrhills FL 33542 <br /> (813).78.0=0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit�o.•,"� <br /> if omt/S ° <br /> - _ licensed under Chapter 468, Florida Statutes as a{n}: <br /> Contractor' . Engineer_Architect Building Inspector <br /> License No: <br /> On or.abo,ut -did personally i ect.the: <br /> Check: Roof Deck Nailin g-' ' Dry in. ' Flashing and Drip edge <br /> _Check which was used: 30#:felt_Peel.and:Stick: Other(List) <br /> At the follovring:. <br /> U <br /> -address::: <br /> Based-_upon.that examination;I have determined the,installation Was done according to the Hurricane <br /> IVlitigation Retrofit MV hual.(Based on Section.553.844,Florida Statutes); <br /> .Signature. <br /> � IIt111NN <br /> STATE OF.FLORIDA . : - . . \��>>\1t1E i3:L04,fii <br /> F9 <br /> 0. <br /> COUNTY OF PASCO.' °aM e s�o �; r <br /> �s <br /> � 2 <br /> o. ..� 9 m; <br /> _Sworn to.and subscribed,before this d �: = - <br /> .ay. , y #F 204141 •#' <br /> By <br /> Notary.Public State of Fiorida �IIInnIHI <br /> 4 <br />