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418/2019 Roof Affidavit.jpeg <br /> Q <br /> N City of Zephyrhills <br /> 5335 81h St <br /> ^y' Zephyrhills FI-13542 <br /> * ; _ (813)780-0020 <br /> tl <br /> ur= <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 21053 <br /> I, Gregory Scott Worrell licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor X Engineer Architect Building Inspector <br /> License No. CGC1514941 <br /> On or about 4/1/2019 did personally inspect the: <br /> Check: Roof Deck Nailing__X_ Dry in X Flashing and Drip edge X <br /> Check which was used: 30#felt Peel and.Stick Other(List) Synthetic U/L <br /> At the fol lowing, <br /> address: 5518 11th St, Zephyhills, FL 33542 <br /> Based upon that examination, I have determined the installation was done:accordingto.the Hurricane <br /> Mitigation Retrofit Manual (Based on Section 553.844,Florida.Statutes). <br /> Signature: <br /> STATE OF FLORffA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this.day <br /> BY: �l/ Q I Fbj.-- AMY J.BRIGGS <br /> / /�/ / _�: �+,_ MY COMMISSION#GG 16W3 <br /> EXPIRES:December 7,2021 <br /> Notary Public State of Florida °Fi:'P` BoodedihruNo"P011CUndetmbls <br /> httpsJ/mail.google.com/maiVu/1/?tab=wm#inbox/FMfcgxwCgCLIJzCKKRGpMdPcNpcTvhpp?projector-1 1!1 <br />