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a City of Zephyrhills <br /> 5335 8t'St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> 1, licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor-(/Engineer , Architect Building Inspector <br /> License No. <br /> On or about /"17-11 AS' —did personally inspect the: <br /> Check; Roof Deck Nailing Dry in l-'"' Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick Other(List) <br /> At the following <br /> address: 1oG'd t �{-�n Sk Z �h�rciG►�It� �(. Z- <br /> Based upon that examination, 1 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 /> MARLLIAM SANTIAGO ~ <br /> fis s:State of Florida-Notary Public <br /> Commission #GG 169809 <br /> taiy ` My Commission Expires <br /> Doc bar 19. 2021 <br /> I. <br />