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City of Zephyrhills <br /> 535 3 th St <br /> 8 <br /> ZeP hY rhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> P ermit <br /> !, licensed under Chapter 468,.Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector,_ <br /> License No.. -ccc r3.2 F515 . <br /> On or about 3-,�? did personally inspect the: <br /> Check: Roof deck Nailing c Dry in N� Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_Other(List) i%2 S% <br /> At the following <br /> address: <br /> Based upon that examination, I ave determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual (Ba d on Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> i <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: Il iYtf, Z�' ( 2-D I <br /> Notary Public State of Florida <br /> ,•;:a a •; JACOUELINE SMS <br /> "_.COMMUSIN#GG 276457 <br /> Expires December 1Z 2M <br /> ••F4!!:°' 9ondedTtruTroyFate9800.3857019 <br />