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City of Zephyrhills <br /> 5335 8t'St <br /> i Zephyrhills FL 33542 <br /> (813)780.0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: -) <br /> I, licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer Arcc�hiittect Building Inspector <br /> License No.16— <br /> C)O ( dr�[ <br /> On or about did personally inspect the: <br /> Check: Roof deck Nailing dry in Z Flashing edge � <br /> Check which was used: 30#felt_Peel and Stick_Other(Ust)�1lL�1 <br /> At the folio in <br /> address: L' �.. <br /> Vf <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: DANIELLA MCGLVNN <br /> s otM Public.State of Florida <br /> STATE OF FLORIDA ; = COnimission#FF 948459 <br /> at My COMM.Expires Jan 8,20 00 <br /> nin <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> By: <br /> Ev&�a klent SW <br /> Notary Public State of Fiori& <br /> i' <br /> 90/b0 39Vd JNIdOIN WIM 09LEZZESTS Z04,1 GTOZ/91/90 <br />