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i <br /> I <br /> City of Zephyrhills , <br /> 5335 8t'St { <br /> Zephyrhills FL 33542 <br /> f (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> l j �) cum.e� licensed under Chapter 468, Florida Statutes <br /> as a(n): <br /> , <br /> i <br /> Contractor Engineer Architect Building Inspector <br /> I <br /> License No. C t b LID <br /> i <br /> On or about 2- " did personally inspect the: <br /> Check: Roof Deck Nailing_ Dry in Flashing and Drip edge <br /> W n� <br /> Check which was used: 30#felt Peel and Stick Other(List) ,� Q +1 C <br /> At the following address: �� D � a rt to Dr <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 /> , <br /> Signature: <br /> STATE OF FLORIDk <br /> COUNTY OF PASCO, <br /> Sworn to and subscribed before this day <br /> EP <br /> HEATHER D HOSFELD <br /> /) Notary Public-State of Florida <br /> BY: LNX� O \l'rJ �f J � Cammissicn=t-, r2-.2MyComm.ExaFresVar2'.202i <br /> ded through National Notary Assn. <br /> 1q-) <br /> 1 <br /> Notaryid <br /> Public State of Florida <br /> i <br /> i <br />