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M <br /> w <br /> City of Zephyrhills <br /> Ii 4 53358 t"St <br /> 1t1 Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: Jq 29 -7_ <br /> I, 5hawrh t earl licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor t!Engineer____Architect—Building inspector— <br /> License No. ' )` bt>1 <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing_, Dry in V/ Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Sticky0ther(List) <br /> At the following address f\�j e/1 ne d(y Ap-'-1 &Q4.144 t f[/S -P 3 2— <br /> Based upon that examin ,I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit nu Ba on Section 553.844,Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> Notary P blic State of Florida <br /> °1►RYPUB CINDYANNEMCH <br /> W.1" <br /> Notary Public•State of Florida <br /> ; My Comm1 Comm5sion Expires Jul 0 6,2022 <br /> Bonded through National Notary Assn. <br />