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i <br /> City of Ze h rhills <br /> Y p Y <br /> 5335 W1 St. <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> w <br /> I, licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer.. Architect_Building Inspector_ <br /> License No, C-Ccg o 3 D Qi <br /> On or about_ lq did personally inspect the: <br /> Check: Roof Deck Nailing '� Dry in °� Flashing and Drip edge <br /> i <br /> Check which was used: 30#felt_Peel and Stick_Other(List) - C <br /> At the following <br /> address: 7 -7 F-4 P U1,24 Lovos <br /> Based upon that examination, I have determined the installation was done according to the Hurricane I' <br /> Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA 111.1111l <br /> \`��I /s� <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day A <br /> ••, <br /> : �mrn.ExP�res• . <br /> BY: �'a S� Gct -f 1�4 C' 12,2021 <br /> s JanueN <br /> • Nc.GG 62516 Q <br /> Notary Public State of Florida . Q <br /> O. v� <br /> �F OF F, <br /> 1111111 <br /> i <br /> i <br />