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1 <br /> r f <br /> \•V �IL <br /> City of Zephyrhills <br /> `s' r 5335 8"'St <br /> Zephyrhills FL 33542 <br /> r7: <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit-No.: .-) 96 <br /> I, q A Mc c ('cc.Yt licensed under Chapter 468.,Florida Statutes as a(n): <br /> ContractorA Engineer—Architect_,Building Inspector <br /> License No. cc-1331144P.- <br /> On or about� did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 3011 felt_Peel and Stick j Other(List) 1+ 9I1_ . <br /> At the following <br /> address: <br /> s ' <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based c-n Sec ' n 553.844,Florida Statutes). <br /> �� -� <br /> Signature: <br /> STATE OF _ RIDA <br /> COUNTY OF PASCO <br /> Sworn and subscribed befor this day <br /> BY: 4 <br /> Notary Public State rida <br /> CINTHIA M JEWELL <br /> MY COMMISSION#GG025698 <br /> "�;f;,•d ' EXPIRES August 29,2020 <br /> r " <br />