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City of Zephyrhills <br /> �� i:nnrrr.tr 5335 81'St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor V E7L..(1 ngine►9er_Architect_Building Inspector <br /> I�.� _ <br /> License No. .l330W3 <br /> On or about did personally inspect <br /> the: <br /> Check: Roof Dec ailing Dry in V Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List) <br /> At the following <br /> address: e <br /> .�- -2 <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 <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: GV <br /> Notary Public State of Florida <br /> CAROLINA OLASCOAGA RODRIGUEZ <br /> MY COMMISSION#GG 102968 <br /> EXPIRES:May 9,2021 <br /> Bond odThruNolary Public Underwdiers <br />