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City of Zephyrhilis <br /> 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 0 <br /> I, �• ��M � licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor-Langineer_Architect—Building Inspector_ <br /> License No. - <br /> On or about Q l l t k Q did personally inspect the: <br /> Check: Roof Deck Nailing Dry in 1y Flashing and Drip edge <br /> Check which was used: 30#felt Peel and SticQ00ther(List) <br /> At the following <br /> address:— q <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 /> STATE OF FL IDA <br /> COUNTY OF PASCO <br /> Sworn to an b ri ed b e thi y Felora o-^j t 20 4 <br /> BY: <br /> Notary Public Stat of FI rida, <br /> Notary PubW Sty of FW0 <br /> "'�; a�Herwen-CWW <br /> • My ConardaWw GG 71e37e <br /> �� osner:0" <br />