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City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813) 780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 2 'so <br /> I, Oro 1°��p_�,� L°, ' Al licensed under Chapter 468, Florida Statutes <br /> as a(n): <br /> Contractor I,,,' Engineer Architect Building Inspector <br /> License No. c— a—c, 1 3 <br /> On or about — Z " �� did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick Other(List) V a" 2 y <br /> 2 -p FZ- 3s <br /> At'the following address: U J y <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manua._l:�(Bas'ed on Section 553.844, Florida Statutes). <br /> Signature: <br /> MINERVA;PEREZ <br /> Notary public-State of Florida <br /> STATE.-OF FLORIDA commission 9GGlu605 <br /> My Comm.Expires Jul9,2021 <br /> COUNTY"OF PASCO <br /> Sworn to and subscribe efore this day, <br /> BY: <br /> Notary Public State of FI rida <br />