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a ' <br /> City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> -- (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 73 <br /> I, r Gf licensed under Chapter 468, Florida Statutes as a(n):. <br /> Contractor Engineer_Architect- Building Inspector_ <br /> License No. CL C 1 q ,(, 16 Z S <br /> On or about to . did personally inspe the: <br /> Check: Roof Deck Nailin Dr in ashin and Drip-edge. <br /> !; Y !; <br /> Check which was used: 30#felt_Peel and Stick V Other(List) 5ygfttr. - 'j C <br /> At the following <br /> address: O4Sa3 Ocvf Or" AVVn:n2L Zeptivrtn- U Si FL 33�� <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 t and subscri a before this day /14101 <br /> BY; j <br /> Notary Public State of Florida <br /> Notary Public State of Florida <br /> Dionne Morales <br /> yqc pMy Commission GG 198482 <br /> 'FOF�dF Expires 04/15/2022 <br />