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E <br /> City of Zephyrhills <br /> 5335 81'St <br /> uphyrhills FL 33542 <br /> (813)780-0020 <br /> • "y t <br /> C <br /> i <br /> ROOFING INSPECTION AFFIDAVIT <br /> !� No.: �Permit �,,, <br /> ` 2 <br /> I f <br /> I ` <br /> licensed under Chapter468,Florida Statutes as a(n): <br /> Contractor <br /> License No. Engineer_Architect_ Building Inspector <br /> i <br /> �' 01 ► `NCO <br /> , <br /> k <br /> On or about 1p ' did personally inspect the: i <br /> Check: Roof Deck Nailing ✓ Dry in ✓ Flashing and Drip edge a.f <br /> I Check which was used: 30#felt Peel and Stick Other(List) a 11- ,fir C <br /> i <br /> At the following <br /> Lai)(-C6 Woo <br /> address: i <br /> i <br /> I <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 /> t <br /> Signature: <br /> STATE OF F RIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: I <br /> Notary Public State of Florida <br /> S-ELD <br /> HEN tER 0 H f ponds <br /> �' 1y"'• Notary pmbstonstate GG 161298 <br /> COm Tres that 11.2022 <br /> ••'�;.::5�x�:= My E°n' National Notary NSsn. <br /> d throufi9 <br /> Ronde <br /> i <br /> i <br />