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CI <br /> . .... .. .... fi f Zephyrhills <br /> City o <br /> k � 5335 8th St <br /> Zephyrhills FL 33542 <br /> `ROOFING INSPECTION-AFFIDAVIT <br /> :.. Permit No.: _ ... . <br /> licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor: .:: Engineer_Architect., Buildinglnspactor_ <br /> License No. <br /> On or aboutS&JI"g <br /> KXQAid personally inspect the: <br /> Check;_Roof Deck Nailin D <br /> g.... ry in Flashing and Drip edge: <br /> Check which was-used: 30#:felt Peel and Stick- Other(List) �G <br /> At the following <br /> address: <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> 1 <br /> Mitigation Retrofit Manual(Based on Section.553.844, Florida Statutes). <br /> Signature:- <br /> STATE OFF <br /> .. ... <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: Ada-,,, �y': �r,I J Cl� .. .- ... <br /> Notary Public State-of Florida <br /> AVID BARTHLE <br /> :.•. ;•.; WC <br /> --.0. . . <br /> OMMISSION#OG 334969 <br /> Q�, EXPIRES:.pfley 15,26x� . <br /> •,9oiit°` .BOfldedTMUN6tary"P1dtACUtO�► ,_` <br />