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I <br /> i <br /> 4 City p of Ze hY rhills <br /> d i <br /> 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> i <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No:: , } �,j <br /> 1, �e ' `^�lam(/� licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector` <br /> License No.. (12 C 05 2 `�V Z-- <br /> On or about. did personally inspect the: <br /> Check: Roof Deck Nailing_{, Dry in c/ Flashing and Drip edge [/ <br /> Check which was used: 30#felt_Peel and Stick_Other(List} <br /> At the following <br /> address: 3` /�� 5-A. 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 /> i <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 />