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"N115 GI 01 <br /> City ofZephyrhil,ls <br /> F0 I'p R 5335 St'St <br /> t.�b Zephyrhills FL 33542 <br /> _.h 1 <br /> (W)780-002d <br /> �}\ ROOFING INSPECTION AFFIDAVIT <br /> Permit-No.:. v� <br /> I, 4v o I\4 man licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer Architect_Building Inspector <br /> License No. CCU 3 fA SS bS <br /> On or about 7 .3 I I 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) <br /> At the following <br /> address: <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 /> i <br /> Signature- <br /> STATE OF FLEWID <br /> COUNTY OF PASCO <br /> JJ c <br /> Sworn o and subscribed before thi. day 5'la <br /> BY: � <br /> Notary Public State of Florida <br /> Notary00 <br /> Abu 1 AYW <br /> Sta eoof Florida <br /> My comm.Expires Aug 24.2623 <br /> "" Bonded through hadonai Notary Assn. <br />