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City of Zephyrhills <br /> ..� .. 5335 8 t"St. . <br /> Zephyrhills FL 33542" <br /> (813)780-0020' <br /> ROOFING INSPECTION AFFIDAVIT -- <br /> Permit No.: <br /> Ali licensed tinder Chapter 468,Florida Statutes as a(ti)::.. :: <br /> ContractorT::Engineer_Architect Building Inspector <br /> License No. � d <br /> On or abou4,,k, gU9M0Zdid personally inspect:the: <br /> Cheek: Roof Deck Nailin .: D in Flashin and Dri ed e <br /> i <br /> g� N g p : g. <br /> Check which vitas used: 30#felt_Peel and Stick : Other(List) C <br /> At-the following <br /> address:. t <br /> Based upon that examination, l heve.�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 FLO <br /> COUNTY-OF PASCO <br /> Sworn:to and subscribed before this day <br /> Notary Public State of Florida <br /> :. ;. 41ON0,66334969 <br /> 1XV <br /> EXP1RE$*:May:13;2923 <br /> ••., �R,• goiMed.RwND�ry �6"" <br /> fo. PubNGllndarwnttera �f��).(�c.� � ' <br />