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t <br /> Q R <br /> City.of Zephyrhilis <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 214229 <br /> licensed under Chapter 468, Florida Statutes as a(n): " <br /> Contractor_,,,_Engineer`Architect Building Inspector <br /> License No,. (N-Cc.1 QogM" <br /> On or about 1ebS11 '.30"w'did personally inspect the: <br /> Check: Roof Deck Nailing ✓ Dry in J Flashing and Drip edge ✓ <br /> Check which was used: 30#felt_Peel and Stick ✓ Other-(List) <br /> At the following <br /> address: " 3iCA 14�r C�►v� �,5 <br /> Based upon that examination, I have determined the:instaliation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section.553.844, Florida Statutes). <br /> A it <br /> Signature: . EKE <br /> tate of Florida <br /> STATE OF FLORIDA j;T GG 312781 <br /> 023 <br /> COUNTY OF As o <br /> Sworn to d su s rib d before this day- 1 -O,- <br /> BY: TOL S h t J S f 1 <br /> Notary Public State of Florida <br />