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I m <br /> City of Zephyrhills <br /> 5335 8t'St r-- <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> e <br /> �}} r ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:�i�Cv 9 9 <br /> 3 <br /> I, C vle ' WC-1'l1 licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractorz Engineer_Architect_Building Inspector_ <br /> License No. C CCC- <br /> On or about /A ao 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 I ` <br /> address: 5(v �� � a-�h 54re t -Ze�`'►\f r6l\1 ,S L2— <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: G C/ <br /> STATE OF FLORIDA x <br /> COUNTY OF PA5e& 'tV1f t � <br /> b rD vL <br /> Sworn to an subs ri ed be ore this day I U 4— ?O l <br /> BY: <br /> Notary Pu"St of Florida <br /> o{�rv�BG JOHNESSAGHOWARD <br /> :2nr, Notary Public.state of Florida <br /> Je s Commission GG 258829 <br /> dt My comm.Expires Dec 30,2079 <br /> Bonded through National Notary Assn. <br />