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City of Zephyrhills <br /> 5335 8u,St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 20C(2q <br /> 1'. QWow-w) �n\n licensed under Chapter 468, Florida Statutes <br /> as a(n): <br /> ContractorEngineer Architect_Building lnspector�__ <br /> License No. <br /> On or about- 'Z � did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip <br /> edge <br /> Check which was used: 30#felt Peel and Stick Other <br /> (List) <br /> At the folio I <br /> address: LA <br /> - <br /> Based upon that examination, I have determined the installation was done according to the <br /> Hurricane Mitigation Retrofit Manual (ELaped on Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> y � 2� jq <br /> Swam to and subscribed before this day <br /> or v NcantP SIN O f rio4 <br /> Kar3n E !-tMon <br /> r <br />