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a • <br /> r 50 <br /> City of Zephyrhills <br /> 5335.8th St <br /> Zeph.yrhills FL:33542 <br /> _ <br /> 81 0020 <br /> II N <br /> I <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.; 2:p 5•q. <br /> " <br /> - licensed under Chapter 468, Florida-Statutes•as a(n): <br /> Contractor Engineer_"Architect Building.Inspector_ . <br /> License N. �G 0 `'L <br /> On or about did personally inspect the; <br /> Check: Roof Deck Nailing L Dry in. Flashing and Drip edge " <br /> £heck.irvhich vFras used: 30#felt_Peei and Stick Other(List) .S'j/10G—' /� <br /> At the following <br /> 21�-- <br /> address: <br /> y <br /> Based.upo i that examination, 1•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 OFPASCO. :- <br /> Swocn.to and subscribed before this day <br /> BY: <br /> Notary Public State of Florida. <br /> a{p CAROLlNAOLASCOAGARODRIGUEZ <br /> - <br /> .=_ My COMMISSION#GG 102968 <br /> EXPIRES:May 9,2021 <br /> ?; �u Nota Public Underwiiteis <br /> Bonded Th . <br />