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® City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.. <br /> 1, Uj Al licensed under Chapter 468,Florida Statutes as a(n): <br /> /—� . .- <br /> Contractor ✓ Engineer_Architect, Building Inspector <br /> License No. ltk l'O"q2 V/ <br /> On or about �� �. did personally inspect the: <br /> Check: Roof Deck Nailing-1/ Dry in Flashing and Drip edge v� <br /> Check which was used: 30#felt_Peel and Stick,Other(List) s'I/i117firlG— <br /> At the following <br /> address:. 3 J R/A2..- <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 /> � 1 <br /> Signature: . <br /> STATE OF FLORIDA <br /> COUNTY OF PAS.CO <br /> Sworn to and subscribed before this day f _ <br /> Notary Public State of Florida <br /> Pu„��,CAROLiNAOLASCOAGAROORIGUEZ <br /> :' °• MY COMMISSION#GG 102968 <br /> r EXPIRES:May 9,2029 <br /> •, uF F�°.•' Bonded Thru Notary Public Underwriters <br />