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00 <br /> City of Zephyrhills <br /> 4,• <br /> t o a fl 5335 81h St <br /> -i Zephyrhills FL 33542 <br /> x (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.j <br /> I, K2 U I A L F-tin Licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor�Engineee_Architect_Buildirfg Inspector <br /> License No. <br /> On or about ` did personally inspect the: <br /> Check: Roof Deck Nailing Dry in - Flashing and Drip edge <br /> Check which was used: '30#felt Peel and Stick_Other(List) <br /> At the following address: (y�e���ObL� (, ��() <br /> J v I(� [P 1 a, <br /> 33541 <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigatibn Retrofit Manual(Based on Section 553.844, Florida Statutes). <br /> Signature <br /> 1 <br /> STATE OF F�ORlQ K" M <br /> ANGELAHAYWOOD' <br /> �u�lic•State of Floridamisvon=GG 344U82023COUNTY OF PASCO mm.Expires Aug 24,i1311ough National Notary Assn. <br /> Sworn p and subscrri ed before t is day I <br /> BY: <br /> J I�� <br /> Notary Public State of Florida <br /> i <br /> i <br /> I <br /> i <br />