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e City of Zephyrhills <br /> 5335 8"St <br /> �- Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 1 <br /> Q 0 V licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor II11 Engineer Architect_Building Inspector <br /> License No. <br /> Onorabout0q rA I Of did personally i pect the: <br /> Check: Roof Deck Nailing . Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick Other(List) <br /> At the following 1� <br /> address: ���1� I '" -"10— —ZgPhN � — <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 OFPASCO " <br /> SworAt �c ed befor�this y <br /> BY:" <br /> Notary Public State of Florida <br /> ;•�''p •. VNIAN MA WM <br /> �. 61Y COAOdtSSIpN i GG 29M <br /> E�IRE8:Jsmy3%2023 <br /> BadodtlruNot1gypL611C ndawrdere <br /> b <br />