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M. City of Zephyrhilis <br /> 5335 V1 St <br /> Zephyrhills FL 33542 <br /> (813)780;.0020 <br /> ROOFING INSPECTION.AFFIDAVIT <br /> Permit.N0.4 i <br /> I, SA licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Le Engineer Architect Building Inspector <br /> License No. CCC 13a&2a <br /> On or about 0 l0 ' -• ! 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) <br /> At the following �n <br /> address: C1CO . . ! 1 lkCdm cc L'cc)to <br /> r C <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553.8444,Florida Statutes). <br /> P4-� <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> S nd subscr' a before this day <br /> BY: <br /> Notary Public State of Florida <br /> RENEE D{SPART{ <br /> =a19pY"�8 State of Florida-Notary Public <br /> e' CommlgISsian.#GG 123949 <br /> '* My 610isefon Expires <br /> dW1 13 2021 <br />