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City of Zephyrhills <br /> 5335 81"St <br /> ' Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> 1, Ad #/_16;4 Jlt I -- licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor V Engineer—Architect Building Inspector <br /> License No. p(_ 00 Y� <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing Dry in `'� Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List)SYA416-1fa <br /> At the following <br /> address: q1) 4 <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 . <br /> COUNTY OF.PASCO <br /> Sworn to-and subscribed before this day <br /> BY: <br /> Notary Public State of Florida <br /> At/WDA CAPPS <br /> +N+y p p <br /> My COMMISSION 8 FF 9160 <br /> EXPIRES'September 3.2019 <br /> �'� do°•: Bonded TWO NO"Pub6cUndenfitets <br />