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4 City of Zephyrhills <br /> a M 5335 8tn St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: Z! <br /> I, L, 40— licensed under Chapter 468,Florida Statutes as a(n)', <br /> Contractor Engineer Architect_Building Inspector_ <br /> License No. CC-C - C> 7 �Z <br /> On or about 1. did personally inspect the: <br /> Check: Roof Deck'Nailing X Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other{List} V" <br /> At the following <br /> address: 53(3 <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 /> JjSignature �= <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed fare t is day <br /> BY: <br /> No a tublric to of Florida <br /> JAC4UEUNE BOGES <br /> Commisslon#GG 216457 <br /> wr:Exom December 12.2Q22 <br /> BmWTinTroyFahbmtow800,85.701 <br />