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` City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> t <br /> i <br /> Z ROOFING INSPECTION AFFIDAVIT <br /> Permit No.. tt (I,— �i(� �t(�lA licensed under Chapter 468,Florida Statutes as a(n): <br /> Contra Engineer_Architect_Building Inspector, <br /> License No. CM 132.LO9,Sq- <br /> On or about (:R tV j )`"i o 9aM did personally inspect the: <br /> Check: Roof Deck Nailing ✓ Dry in ✓ Flashing and Drip edge <br /> Check which was used: 30#felt_,Peel and Stickt-/Other(List) <br /> At the following <br /> 578 1 i ��� � � �" <br /> address: 1 �o(f`�l��lf' [III�S R, 336'4/0 <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 FLORIDA <br /> Notary PubW State Or Florida <br /> COUNTY OF PASCO A3Nay N 81ydsey <br /> MyMy Corrwntabn OG 239074 <br /> E7cpins 8tl13t2022 <br /> Sworn to and subscribed b this day <br /> BY: <br /> Notary Public St of Florida <br /> I <br /> 4 <br />