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K, City of Zephyrhills <br /> S335 8'"St <br /> ,.. ,:-:•. :.: � Zephyrh1llsFL33942 <br /> (813)780-0020 <br /> 'cjrwrw:+:7irihrnit.i;::-:. <br /> J4x_ <br /> (� ] ROOFING INSPECTION AFFIDAVIT <br /> Permit No.; k l 1 <br /> licensed under Chapter 458,Florida Statutes as a(n): <br /> Contractor"Engineer Architect__Building Ins _pector <br /> License.No.��c.� �_ H. <br /> i t <br /> On or did personally inspect the: <br /> Check: Roof peck Nailing ✓ Dry in &'--- Flashing and Drip edge <br /> Check which was used: 30N felt Peel and Stick_Other(List) <br /> At the following 11 ! <br /> address: "f <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 /> Signatur . <br /> STA OF FLORIDA <br /> COUNTY OF PASCO <br /> Swo�n o and subscrI before <br /> ;•';++•Do'•.. KRISTIN ANN HOSFELD <br /> N.Uy Public-Stk,&Fiarie� <br /> BY: ? CommPffion a GG i 2446 <br /> :;, •. My Comm.EiDms� Ju116,201i <br /> Notary Public State of Fl a �J�QIfR Y�AipYdlA}i,Ayr <br /> Scanned with CamScanner <br />