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City of Zephyrh ills <br /> 5335 81"St <br /> ;. ` <br /> Zephyrhills FL 33542 <br /> - (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No;:da 13 <br /> I, KW in t- F\LMO n licensed under Chapter 4.68,Florida Statutes as a(n): <br /> Contractor V"Engineer Architect_Building Inspector <br /> License No.e C 3 55b J <br /> On or about �c t'a did personally inspect the: <br /> Check: hoof Deck Nailing �ry in Flashing and Drip edge <br /> Check which was used: 30#felt I Peel and Stick Other(List) <br /> At the following <br /> address: <br /> zwN tl& H <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 /> i <br /> l <br /> Signature, -, <br /> STATE OF PEAR - <br /> COUNTY OF PASCO <br /> Savor to and su,bscribed before this day <br /> BY: <br /> Notary Public State of Florida <br /> �,s••tt At+GE A HAYWOOD <br /> Notary Pubic•State of Florida <br /> -go- My{ammcomm�Ssi ExpiresGAug 24,82023 <br /> donaea through'Nationai Notary ASS.. <br />