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City of Zephyrhills <br /> 1 1 1 5335 Bch St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> I ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> I, �A(%Wo licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer—Architect Building Inspector <br /> License No.CjW1k `ts O� <br /> On or about Lj/ <br /> � )I C did personally inspect the: 3G0LtCk SOLL-01 Ave, <br /> Check: Roof Deck Nailing ✓ Dry in f Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick V"Other(List) <br /> At the following <br /> address:_ '1C(Q1ACl SUI x'yk ptyP <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: XA'0bW9-- <br /> STATE OF FLORID <br /> COUNTY OF PASCO r� <br /> Sworn to and subscribed before this day 9-cA l <br /> BY: L110�ZQ-"Q� d/7 <br /> Notary Public State of Florida <br /> M. IGLESIAS <br /> Commission # FF 898139 <br /> My Commission Explies <br /> ',`,,;;;;°;••`• July 12, 2019 <br />