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ar City of Zephyrhills <br /> $th <br /> 5335 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ';, tom, •;Mo', r ' <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: )1 e?$t <br /> I, q3"\ ` n� licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor DEngineer_,_ Architect_ _Building Inspector <br /> License'No._ 'Q;C.0 n,5%ZA <br /> On or about_ _ la l,S I iq did personally inspect the: <br /> Check: Roof Deck Nailing_, Dry in �0 Flashing and Drip edge (49 <br /> Check which was used: 30#felt_)(—Peel and Stick_Other(List) <br /> At the following <br /> address: L C+ <br /> I L. S <br /> Based upon that exa ination,i have determined the installation was done according to the Hurricane <br /> Mitigation Retro it nual(Based on Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORID` <br /> COUNTY OF PASCO <br /> Sworn to an bscribe fore day <br /> BY. <br /> Notary Public State of Florida <br /> +'�'+nnivrni <br /> Notary Public State of Florida <br /> Alicia Herweh•Cannon <br /> g My Commission GG 218378 <br /> a�df Expires 0511812022 <br /> I <br /> I <br />