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City of Zephyrhills <br /> 5335 811 St <br /> ZephyrhiNs FL 33542 <br /> (813)780-0020 <br /> 9 <br /> f ROOFING INSPECTION AFFIDAVIT ` <br /> Permit No.; �� � ��� <br /> licensed under Chapter 468, Florida Statutes,as a(n): <br /> Contractor�ngineer_Architect Building Inspector_ <br /> License No. <br /> On or about 6;201 f 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 t Other(List) <br /> At the following �/, 14 4( <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 /> Signature: - <br /> r <br /> r <br /> STATE OF FLOMEUSS---- lA.cu3234956's <br /> MY COM'v1:COUNTY OFPASCO `*. '= EXPIRE:.' BondedTh.iw'.. <br /> Sworn to and subscribed before this day <br /> BY: <br /> otary Public State of Florida <br /> P*- 2 <br /> - :EXPIRt. 24,2109 <br /> MELISSAA.CUMMINGS I1 ox� mntdrh�is ;,oic,iirdrati <br /> MY COWSSION 0 FF 234956 <br /> * EXPIRES:June 20,2019 <br /> 3 Pf Bonded Thru Notary Public Underwriters <br />