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19-21036
Zephyrhills
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2019
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19-21036
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Last modified
1/7/2020 10:00:37 AM
Creation date
1/7/2020 10:00:36 AM
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Building Department
Company Name
ST ELIZABETH'S EPISCOPAL CHURCH
Building Department - Doc Type
Permit
Permit #
19-21036
Building Department - Name
ST ELIZABETH'S EPISCOPAL CHURCH
Address
5855 16TH ST
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City of Zephyrhills <br /> .an'In 5335-8t"St <br /> t Zephyrhills FL 33542 <br /> (813)780-0020 <br /> r <br /> jj�� ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: � I V <br /> I, ./ U1 �- 1� Olaf() licensed under Chapter 468,Florida Statutes as a{n}: <br /> Contractor Engineer Architect Building Inspector <br /> License No. <br /> On or about t-1 1 did personally inspect the: <br /> Check: Roof Deck Nailing .�� Dry in '�_.. Flashing and Drip edge 'f~ <br /> Check which was used: 30#felt Peel and Stick_Other(List) <br /> At the following ��S� {��� <br /> address: I <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 /> Sighatur� _ <br /> STATE OF FL©RII <br /> COUNTY OF PASCO <br /> Swor to and subscr'Ued before this days' i C1 <br /> BY: tivt�OG�. <br /> Notary Public State of Florida <br /> ANGELA HAYWOOD <br /> .`i,ti^nY YU04 <br /> Notary Public-Slate of Florlda � <br /> �`•~° ' {1 smrnlsslon:�i F 912551 t' <br /> My Comm.Expires Aug 24,2019 ji <br /> Bonded through National Notary Assn.;�' <br />
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