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City of Zephyrhills <br /> r 5335 8th 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 /> ContractorVEngineer_Architect_Building Inspector <br /> License No.: <br /> On or about 11,4 1 JC. did personally inspect the: <br /> Check: Roof Deck Nailing Dry in A Flashing and Drip edge )(, <br /> Check which was used: 30#felt_Peel and Stick_Other(List) <br /> At the following - <br /> address: yy3 � <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 FLORIDA =e <br /> COU NTY.OF.PASCO <br /> Sworn to and subscribed before this dayll� ao�� <br /> BY: <br /> Notary Public State of Florida <br /> ►AY d� ULRIKE WILSON <br /> � Notary Public State of Florida <br /> a• o`+ Commission#GG 236714 <br /> .°~ my comm.Expires Aug i 1,2022 <br /> "'�•�Bonded through National Notary Assn. <br />