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C ' <br /> Y ' <br /> City of Zephyrhills <br /> # y 5335 81h St <br /> Zephyrhills Fl.-33542 <br /> (813)780=0020 <br /> 'L- <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: o7l�jl�, <br /> 11 i 1-MIna C,QS licensed under Chapter 468,Florida Statutes as-a(n): <br /> Contraefiorngineer Architect Building Inspector <br /> License No.Cam'-C--M%kSq <br /> On or about lnl��j lq did personally inspect the: <br /> Check: Roof Decic Nailing_ Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick—Other(List) <br /> At the following <br /> address:, 5221 R�r\ EA- <br /> FL- 33542 <br /> Based upon that ex Ination,I have determined the installation was done according to the Hurricane <br /> Mitigation Retro �t nual(Based on Section 553.844,Florida Statutes). <br /> Signature: <br /> STATE OF FLORID� <br /> COUNTY OF PASCO 11 <br /> Sworn to and b cribed aOtZhisBy <br /> BY: <br /> Notary Public State of Florida <br /> Notary Pubkic State of Florida <br /> Alicia Herweh-Cannon <br /> "'on 2G 218378onm22Mill ?G <br /> a <br />