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19-22123
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19-22123
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Last modified
2/17/2021 10:07:51 AM
Creation date
2/17/2021 10:07:50 AM
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Building Department
Company Name
MOORES FIRST ADDITION
Building Department - Doc Type
Permit
Permit #
19-22123
Building Department - Name
RAMIREZ,JOSE SANCHEZ & TIFFANY
Address
4800 16TH ST
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Roof Affidavit <br /> City of Zephyrhills <br /> 5335 8,h St <br /> Zephyrhills FL 33542 <br /> (813) 780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:Ilo zt <br /> I, // � ✓''1��>�� licensed under Chapter 468, Florida Statutes <br /> as a(n): <br /> Contractor "/ Engineer Architect Building Inspector <br /> License No. <br /> On or about 10 hb/J �r did personally inspect the: <br /> Check: Roo Deck Nailing `" Dry in '! Flashing and Drip <br /> edge <br /> Check which was ed30#felt Peel and Stick Othe <br /> (List) 57 V� � <br /> At the following f <br /> address: '�'T J1 �� J <br /> Based upon that examination, I have det fined the installation as done according to the <br /> Hurricane Mitig Retrofit Ma al (Base on Section 55 . 44, Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO II <br /> Sworn to and subscribed before this day LteeW 64V /�1 � 1 Ia <br /> BY: ^t a'y' !V pSS <br /> i <br /> Notary bli ate of Florida <br />
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