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City of Zephyrhills <br /> s i LriilTreK; 5335 r St ' <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit <br /> No.: <br /> �1Dn5= licensed under Chapter 468, Florida Statutes as a(n): <br /> Contracto4Engineer Architect Building Inspector <br /> License No. <br /> On or about g/ (� r q did personally inspect the: <br /> Check: Roof Deck Nailing__J�L' Dry in Flashing and Drip edge !�— <br /> Check which was used: 30#felt Peel and Stick_Other(List) <br /> At the following <br /> -address: 37 819 A/;--Za Or ALSSa Dr 1-'51?5 AId55-0n A/vdj <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 OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed <br /> /before this day /0( <br /> BY: <br /> Notary Public State of Florida <br /> 308 CHASE! <br /> Zap. f i <br /> '- My CQMMIS�14N#C(308W9 <br /> '•',';o,�wa EXPIRES January 17,2021 <br />