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City of Zephyrhills <br /> Frr.iionr, 5335 8ch St <br /> FJ' Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:21160 <br /> I, Joseph RaVI licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector_ <br /> License No.CCC1329936 <br /> On or about S/7/1 A did personally inspect the: <br /> Check: Roof Deck Nailing NZ Dry in N/ Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List)Synthetic <br /> At the following <br /> address: 5319 Tangerine Dr_ Zephyrhills, FL 33542 <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 <br /> Sworn to and subscribed before this day Fl <br /> • 'ti�YyCamm.GWn M7B.Mt1 <br /> BY: I G•�� �edd��NWmU Naury4v <br /> Notary Public State of Florida <br />