Laserfiche WebLink
City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: �n1j4 6) (] <br /> I, tV 11 Chia I Y=QSI licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer Architect_Building Inspector <br /> License No. IV.961b - <br /> On or about_ did personally inspect the: / <br /> Check: Roof Deck Nailing ✓ Dry in t" / Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick v Other(List) <br /> At the following <br /> address: S10 <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: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO f <br /> Sworn to and subscribedbefore this day <br /> BY: / / <br /> Notary Public State of Florida <br /> CASEYLAIV aWmM <br /> WCOit11483l01+198 286126 <br /> WIREt O*bw 14,2M <br /> •' Baid�d7lrutiobryPibiclideew�e:s <br />