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4 <br /> , <br /> Q <br /> City of Zephyrhills 1 <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (823)780-0020 <br /> �bep�' � �.�' . 2>E'A�+rr?►a1�:. �f:, cis <br /> 0 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 2. 10 2 5" <br /> 1,_ 13,rad t»L y t rt#I Id licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect Building Inspector <br /> License No. G C C L S f 33 <br /> On or about 2 '` ` did personally inspect the: <br /> Check: Roof Deck Nailing �f Dry in v"0'0" Flashing and Drip edge+� 6 <br /> Check which was used: 30#felt^ Peel and SticV'_Other(List) <br /> At the following <br /> address: yD ptZ�� �^S4r'.e'L <br /> _ ZF�1f11tr�'1?I�S r �• <br /> I <br /> Based upon that examination, 1 have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). i <br /> Signature: P—. evil <br /> —2—JIA <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn t and subscribed before this day <br /> BY: I <br /> I <br /> Notary Public State of Florida <br /> SANDRA MANNING <br /> Notary Public,State of Florida <br /> MV Comm.Expires Nov 20.2021 <br /> No.GG 161853 <br />