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City of Zephyrhills <br /> ZephyrhiO FL 33642 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> � |cenamd under Chapter 4GB. Florida Statutes oms(n): <br /> Contractor nginae[___Architpot__Bu||ding |nmpecto[_ <br /> LiooneeNo. LCC [l| <br /> Onor about did personally inspect the: <br /> Check: RoofDeckNaO|n ryi edge X <br /> Check which was used: 3O#hdt___Pewi and 5t|ok-\-01her(List <br /> At the foil in <br /> 000neso' <br /> Based upon that examination, | have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based un Section 583.844. Florida 8tatuteo). <br /> Signature:-_ <br /> STATE OFFLORIDA <br /> COUNTY OF PASCO <br /> JAMIE CURNUTTce—_ Notary Public,State of Florida <br /> Notary Pu__State of Florida <br /> � <br /> � <br /> � <br /> | <br /> ' <br />