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� M <br /> City of Zephyrhills <br /> 5335 81n St <br /> Zephyrhills FL 33542 <br /> (813)78070020 <br /> p - ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: t <br /> licensed under Chapter468,Florida Statutes as a{n): <br /> Contractor `Engineer . Architect_ Building Inspector_ <br /> License No.Azc�—e?�2� 17/ <br /> On or about did personally inspect the: <br /> Check: Roof.Deck Nailing- Dry in �'r :Flashing and Drip edge. <br /> Check which was used: 30#felt—Peel and Stick_Other(List) <br /> At the following �+ j <br /> address: <br /> .r <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 Q, j <br /> Sworn to and subscribed before this day s,.;'.' t!to,l r`{,u;�t.r <br /> /f - •r,' <br /> BY: Oil <br /> Notary Public State of.Florida <br /> Coln*rS S 1 a-)q r re s l02/7/ �al j �.': :�,, ,a,ai:'";.,•„r.. <br />