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19-21458
Zephyrhills
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2019
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19-21458
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Last modified
1/8/2020 2:30:04 PM
Creation date
1/8/2020 2:30:04 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21458
Building Department - Name
ZURAWSKI,SCOTT T & DIANNE JEAN
Address
6149 19TH ST
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- i <br /> z City of Zephyrhills <br /> 5335 8: St <br /> Zephyrhills FL33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: l <br /> I licensed under Chapter 468, Florida Statutes as a(n): <br /> ContractorXEngineer_Architect—Building Inspector <br /> License No.CCZ-4 <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing_ Dry in Flashing and Drip edge <br /> Check which was used: 304 felt_Peel and Stick_Other(List) �AT: J�tl f tt5-t e-r <br /> At the following <br /> address: <br /> I.t T S <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553.84 Florida St tes). <br /> Signature: <br /> STATE OF FLORI <br /> COUNTY OF PASCO <br /> Swor to nd subscribed.befor his day <br /> BY: s - - - - - - -� <br /> Notary Public State o Flo da <br /> CINTHIA M JEWELL <br /> MY COMMISSION#GG025698 <br /> �?os;tid EXPIRES August 29,2020 <br />
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