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ae A City of Zephyrhills <br /> 5335 Wh St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: Z 1 6q,3 <br /> I, Cam' h (� �+,f� 0" licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractorf%Engineer Architect_ _Building Inspector_ <br /> License No. 3 22 6 S�'/ V <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing 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: <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 before this day <br /> :-"Notary Public State af6fida <br /> �tY°4 '• MINERVA PEREZ <br /> Notary Public—State o`Flo:ida <br /> O, Commissions GG 122605 <br /> '"•'�a ;'' My Comm.Expires Jul%2021 <br /> =;f <br /> 1. 1 <br />