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City Zeph}rhills <br /> Ci of <br /> 53358`h St <br /> -.. ,. <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: ("I <br /> I, \ in� e Mir k,,x rC- n licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor n,y Engineer_Architect_Building Inspector_ <br /> License <br /> On or about did personally inspect the: <br /> i <br /> Check: Roof Deck Nailing Dry in _Flashing and Drip edge_ <br /> i rp <br /> Check which was used: 30P felt,X Peel and Stick_Other(List)� - S - <br /> At the following <br /> address: <br /> l Z <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Sectio 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF F A <br /> 1-7 <br /> COUNTY OF PASCO <br /> Swor nd subscribed befor this day <br /> BY 4 <br /> Notary Public State orida <br /> CINTHI :August <br /> M JEWELL <br /> MY COMMISION#GG025698 <br /> co EXPIRES 29,2020 <br />