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City of zephyrhills <br /> 5335-81h St <br /> Zephyrhills FL 3354.2 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: a 1'716,L� <br /> licensed under Chapter 468, Florida Statutes as a(n):. <br /> ContractorZ Engineer_Architect_Building Inspector^ <br /> License No. C C C- i 3 3 t- 5 <br /> On or abautt 1 Zt!?t Idid personally inspect the: <br /> Check: Roof Deck Nailing ..--_ Dry in --' Flashing and Ddredge <br /> Check,which was used: 30#felt_Peel and Stick_Other(List) to <br /> 2D <br /> At the following <br /> Address: ?- 2lYZ--t cC-+ C <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 an bscribe ef�is day <br /> BY: - <br /> Notary Public State of Florida <br /> ��s`Y°ii'•.. STEVE E STW:FIor]lda <br /> llotary Public-state Commission#GG 2My comm.Expires Au <br />