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J • <br /> City of Zephyrhills <br /> p'Minn 5335 8"St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> C <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: a 3 <br /> I, �mo k�� Ct I� licensed under Chapter 468, Florida Statutes as a(n)- <br /> Contractor" Engineer_Architect_Building Inspector_ <br /> License No..C/CC `I 1 556 <br /> On or about 119 did personally inspect the: <br /> Check: Roof Deck Nailing ` Dry in Flashing and Drip edge <br /> Check which was used: 30#felt'!Peel and Stick_Other(List) <br /> At the following Uar I <br /> address: 3 — <br /> R 335L1a <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 FEGRI <br /> COUNTY OF PASCO <br /> Sworr to and subscrJJi ed before thi day <br /> f <br /> Notary Public State of Florida <br /> f' tl llll/1 <br /> ANG[LAHAI'LVOOD E) <br /> y, y Notary-Public-Stile of Florida t <br /> Commission#FF 912551 <br /> y COMM.Expires A <br /> 1ug 24,2019 <br /> '%111111` Bonded through Nallonal Notary Assn. <br />