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19-21067
Zephyrhills
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Building Department
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Permits
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2019
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19-21067
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Last modified
6/4/2019 8:21:02 AM
Creation date
6/4/2019 8:21:01 AM
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Building Department
Company Name
FOREST HEIGHTS
Building Department - Doc Type
Permit
Permit #
19-21067
Building Department - Name
SANICHARA,BEJAI
Address
37816 HART CIRCLE
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4 � <br /> ` <br /> p City of Zephyrhills <br /> F 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> gg <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> Scott Douglas Hoff licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer_Architect—Building Inspector_ <br /> License No. CCC1331253 �,, <br /> On or about ✓4- D�- Z \-1 did personally inspect the: <br /> Check: Roof Deck Nailing_, Dry in Flashing and Drip edge 1 <br /> Check which was used: 30if felt_—Peel and StickOther(List)Synthetic Rhino UL20(FL#15216-R3) <br /> At the following <br /> address: LP rti�P. -z.0.0hj,4f 1_il IFL .3-36tQ, <br /> _q Based upon that examination, I have determined the installation was done according to the Hurricane <br /> POitigation Retrofit Manual(Based o Section 553.844,Florida Statutes). <br /> t- <br /> Signature: <br /> It <br /> e✓" <br /> STATE OF FLORIDA ILIV �O'%RY Tracy Carol Story <br /> °o COUNTY OF PASCO NOTARY PUBLIC <br /> �STATEOFFLORIDA <br /> Comm#GG30066o <br /> Sk,: to and subscr' ed of re this day .�cr:tio�� xplr®6 2/11/2023 <br /> B' <br /> Notary Public Sta a of Florida <br />
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