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© City of Ze h rhills <br /> Y p Y <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:. <br /> I, 1L��i� lY/7✓a licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor v Engineer_Architect_Building Inspector_ <br /> License No.: <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing Dry in v Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List) <br /> At the following <br /> address: 3 8� 1 T/1LL�-S' 0f ll�• <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 /> Cary <br /> A=c � ttr•'iq MELISSA A S CUMMING <br /> MY COMMISSION#GG 304221 <br /> Public State of Florida EXPIRES-, 20, <br /> BwdedThNNotaryPiftlWMfi= <br />