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City of Zephyrhiils <br /> 5835 tau'St <br /> Zephyrhilis FL 33542 <br /> (813)780.0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer A__rcchhi�terct,_._,Building Inspector <br /> License No. c�v a Lt <br /> On or about-5j.10 / did personally inspe the: <br /> Check: Roof Deck Nailing. ,/ D in � Flashing n r' d Dry s g�Drip edge ✓ <br /> Check which was used: 30#felt_ _Peel and Stick_Other(List)_1enCII ?Ct,(.I � I g'? <br /> At the .l , ?& . . < <br /> address•s: '��� <br /> � 3 ' <br /> Amu <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 /> Signature: ' <br /> LYMN <br /> s otary Poblla-State of Florida <br /> STATE OF FLORID = 8 COfllm193100#FF 948469 <br /> My Comm.Expires Jan 8,2020 <br /> COUNTY OF PASCO , <br /> Sw to and subscribed b fore this day <br /> BY• <br /> 6 41A <br /> Notary Public State of flori <br /> 90/90 39V8 ONIJ008 NCQOS 09L6ZZSET8 Z0311 610Z/9Z/90 <br />