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, <br /> C'r of Zep <br /> h rhills <br /> ty <br /> 5335 81h St <br /> 2ephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTIO'N:AFFIDAVIT <br /> hermit No.: <br /> licensed under.Chapter458, Florida Statutes as a( i):.;.. :: <br /> .. .. <br /> Contractor Engineer Architect Building Inspector <br /> License No. .1D <br /> On or about �71 " aloavcl personally ins ea the: <br /> Check:'Roof Deck Nailing � Dry in L--' Flashing and Drip edge. iO <br /> Check which was used: 30#felt _Peel and Stick Other(Kist) <br /> At the following <br /> .:': r <br /> address: 0-' <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 FL <br /> COUNTY.OF:PASCO <br /> Sworn to and subscribed before this day <br /> BY: Awev. <br /> Notary;Public State'of Florida <br /> p <br /> 1►?r! DAVIU BARTHLE <br /> i9 a. •} �� <br /> tetY.COWSSION#GG 331965':: o f <br /> �!F EXPIRES;MajL 16,a023 <br /> SD11dedTTnulloteryFu6fttJnftxfttl. <br />