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tS1�fiV <br /> City of Zephyrhills <br /> a fl x 5335 e St <br /> r I 1 Zephyrhills FL 33542 <br /> (813)780-0020 <br /> 4 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:0 6 <br /> 1, 1�- .U1 O L '`� �' 1 licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor�Engineer_Architect�Building Inspector <br /> License No. <br /> On or about d did personally inspect the: <br /> Check: Roof Deck Nailing Dry in _ Flashing and Drip edge <br /> Check which was used: 304 felts Peel and Stick,_Other(List) <br /> At the following <br /> address: �j 3 �U� 2V1� 'irCcl <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553.84.4, Florida Statutes). <br /> Signature- <br /> STATE OF FL-ARI <br /> COUNTY OF PASCO <br /> Swor to ands bscrib d before this ay <br /> BY: <br /> Notary Public State of Florida <br /> ANGELA HAYWOOD <br /> Notary Public-State Of Florida ii <br /> r}i Nj';,f q` Cymmisslon,-,'FF 912551 <br /> N 4 Oq <br /> e '-,'eQi�i�'�, My Comm.Explros Aug 24 2019 <br /> 21_.__ Y QonJet3througtiNallOn8lNO[aryAssii. <br /> Il <br />