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City of Zephyrhills <br /> 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> q1 � <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: jCaiq 1-1 <br /> i, V 1 Q licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer Architect Building Inspector <br /> License No. - ©L`j t' y <br /> On or about 2OkA 20L9 did personally inspect the: <br /> Check: Roof Deck Nailing_(C Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_)QPeel and Stick_Other(List) <br /> At the following <br /> address: <br /> Based upon that ex in tion, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit It <br /> nu I(Based on Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE.OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and bed te <br /> BY: <br /> 71 <br /> Notary Public State of Flor a <br /> a4�r Notary Public State of Florida <br /> Alicia Herweh-Cannon <br /> ` e Ally Commission GG 218378 <br /> Expires 05/10/2022 R <br />