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City of Zephyrhills <br /> 5335 Bch St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> . f <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 27 <br /> t <br /> er 468,Florida.Statutes as a(n): <br /> Contract oUU Engineer Architect <br /> o. _ ( ?� <br /> License N l A A' � �l� p� /B �; � <br /> On or about did , r <br /> Check: Roof Deck Nailing Dry ir, nd Drip edge. <br /> Check which was used: 30#felt Peel and Stick Other(List) <br /> At the following t � <br /> address: "[ �_`� L (�u <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofi Ma ual(Based on Section 553.84.4, Florida.Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn d subscribed.bef N re his ay <br /> BY: <br /> Notary Public State of Florida <br /> ,►�" CHRISTINE PUIFO <br /> Notary Public,State of Florida <br /> Commission No.GG242266 <br /> +orN° Commission Expires07/26122 <br />