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City of Zephyrhills <br /> 5335 a St <br /> 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 /> ContractW Engineer Architect_Building Inspector <br /> License No. 4 00 .S <br /> On or about, did personally ins ct the: <br /> Check: Roof Deck Nalling��, Dry in Flashing p edge_ <br /> and Drip <br /> Check which was used: 30#felt Peel and Stick_Other(List) Lf 07 <br /> At the following t <br /> address: - e <br /> rbilli <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 /> t 2 <br /> Signature. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> $ to and subscribed before this day <br /> • 6Y <br /> Notary Public State of Flora <br /> 4 <br /> aANIELLA WGUYNN <br /> Notary PubW-State of Etotida <br /> Comhosion#FF$48468 <br /> •�•�' My Comm.Expires Jan 8,2020 <br /> 60160 3JVd 9NId0W NCQOS 09L£ZZ££TS 9Z-111 GTOZ/T0/50 <br />