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e <br /> City of Zephyrhills <br /> 5335 8t'St <br /> t; Zephyrhilis FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> f, 17 licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer Architect_.,,Building Inspector_ <br /> License No. ODWb N3 <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing Dry In z Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick—Other(List) X� <br /> ( C-L RL <br /> At the following <br /> address: a� <S 1 0) 0 93 <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: R ' NIELLA MD948459 <br /> .c <br /> Comm1es10n 0 <br /> STATE OF FLORIDA % q„ My Comm.Expires <br /> COUNTYOF PASCO <br /> Sw n to and subscribed before this day <br /> 8Y• <br /> Notary Public State of Flor <br /> 90/60 39dd 9NId00N NV(10a 09L£ZZ££Ze ZO:VT 6TOZ/9Z/90 <br />