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City of Zephyrhilis <br /> St <br /> Zephyrhilis FL 33542 <br /> ` (813)780-0020 <br /> +A <br /> P <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: QI \15�1 <br /> 1, i (`}� °' �C licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor_,Engineer,_Architect Building Inspector <br /> License No.C <br /> On or about A <M did personally inspect the: <br /> Check: Roof Deck Nailing, ____, Dry in Flashing and Drip edge <br /> Check which was used: 304 felt, Peel and Stick__,_Other(List}-F=,bk 00 <br /> At the following <br /> address ,%�)4 ���t'1('t <br /> Based upon that examination,I 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 /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Public St of Florida <br /> 00%% NOW <br /> y Public Stale of RoMe <br /> coumley SMMI <br /> p My Commlaolon GG 2371ae <br /> NCPq,' EM+a rna 07/1 112022 <br />