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City of Zephyrhills <br /> 5335$o'St <br /> Zephyrhills FL 33542 <br /> (813)780.0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: ) <br /> 1, q&— L4 r O licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer Architect Building Inspector <br /> License No. o(,&� <br /> On or about K did personally ins ect the: <br /> Check: Roof Deck Nailin F g Dry in lashing and Dri p e ge,�„_„�„� <br /> Check which was used: 30#felt Peel and Stick Other(List} i 4er Lz) <br /> At the followin <br /> address: 67WO Ila <br /> £ t) q <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> Wili Ration Retroirc Manuai(13asea on section 553.844,Florida Statutes). <br /> r <br /> Signature* GANIFAI���'$�N <br /> s Notary Public-State of Florida <br /> STATE OF FLORID Cominloslon#FF 940459 <br /> my Comm.Wires Jan 0.2020 <br /> COUNTY OF PASCO <br /> sw n to and subscribed before this day <br /> By <br /> Notary Public State of Flo ' a <br /> 90/Z0 39Vd JNId008 WIMI 09L£ZZ££I8 MOT 6IOZ/51/90 <br />