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19-20759
Zephyrhills
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Building Department
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2019
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19-20759
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Last modified
1/14/2020 9:19:42 AM
Creation date
1/14/2020 9:19:41 AM
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Building Department
Company Name
ZEPHYR HEIGHTS
Building Department - Doc Type
Permit
Permit #
19-20759
Building Department - Name
MASON,MARTHA ANNE
Address
39033 MANOR DR
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City of Zephyrhills <br /> 5335 8"St <br /> ' Zephyrhills FL 33542 <br /> (813)780-0020 <br /> I <br /> i <br /> �/ ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: d U�`� I <br /> L 9A Cnall! licensed under Chapter 468, Florida Statutes as.a(n): <br /> Contractor✓ngineeer Architect_Building Inspector_ <br /> License No. CM3�5SD <br /> On or about r� 1 3 1 / did personally inspect the: <br /> Check: Roof Deck Nailing i/ ,ry in `� Flashing and Drip edge <br /> Check which was used: (304 fell Peel and Stick_Other(List) <br /> At the following j I CJ� <br /> address: _ I <br /> �D 11IA4 Ir A� `1 S <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(DR <br /> L ANGELA HAYWOOD <br /> 1� r•��; �n`�o% Notary Public-Siale of Florida <br /> COUNTY Or PASCO _ <br /> Commission#FF 912551 <br /> Nl Comm.Expires Aug4,2019 <br /> yr. ate,: Y P fl <br /> Swor to ands bscrib d before this day "'�„� ,�;°�` Bonded through National Notary Assn. <br /> BY: l vC�UG <br /> Notary Public State of Florida <br /> i <br /> i <br /> i <br /> i <br />
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