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Y <br /> r <br /> City,of.Zephyrhills . .. . <br /> 5335$th St- <br /> Zephyrhills Ft 33542 <br /> 8 <br /> III <br /> ROOFING INSPECTION AFFIDAVIT , <br /> • <br /> Pertnit No;:: cQS <br /> t' is t licensed under Chapter'468, Florida Statutes as'a <br /> Conteactor +%Engineer . Architect : Building lrispector <br /> License Na. " (tc.--C--:'0—.-7`7'(-Z <br /> On or abouta- did personally inspect the: <br /> �. D n. Flashing" and Drip r/ <br /> Check: 'Roof DecR.Rlailing: ry i <br /> . :. p edge. <br /> Check which was used': 30#felt_Peel acid Stick- Other:{List-}:. � <br /> Atthe.faliowing. . - <br /> address::. 5 /� — - _s <br /> .Based-upon.that examination,;l have determined the installation.was done according to the Hurricane <br /> Mitigation Retrofit'Manual{Based on Section 553.844, Florida Statutes} <br /> Signature:. .. <br /> STATE OF,FLORIDA <br /> COUNTY OF PASCO <br /> Swarn.ta and sObscribed.before this day. <br /> BY: Z? <br /> Notary Public State of.Florida <br /> JACQl1EtlNEBOGE$ <br /> COMMIS*0#GG 2�&457 <br /> Expires December 12,2022 <br /> Bonded T ru Twaio <br /> - I <br />