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City of Zephyrhills <br /> 5335 8t'5t <br /> ZephxrhU|sFL33542 <br /> (813)780-0020 <br /> . <br /> ROOFING INSPECTION AFFIDAVIT <br /> PennitNo.: <br /> �� <br /> [ ������r licensed under Chapter 468, Florida Statutes asa(n): <br /> Contnac10- ~^ingineerArchitect8ui\ding\nspecto[— <br /> License No. � <br /> Onnr about did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 3O#felt Peel and Stick <br /> Other(List) <br /> At the following <br /> address: t-"briA, <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 0 L0RlDA ^~ <br /> COUNTY(JFPASCO <br /> �� <br /> SvxVrntm and subscribed before this day °p'&° <br /> � ' <br /> Notary Public Stat6�o�f Florida Ow"' Notary Public State o&f Ronde <br /> Carol Jo Meado"r O'F'Mda <br /> lon <br /> W—D Expires 03109/2023 <br /> of IV <br /> - <br />