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19-22019
Zephyrhills
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2019
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19-22019
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Last modified
2/17/2021 11:14:11 AM
Creation date
2/17/2021 11:14:10 AM
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Building Department
Company Name
FOREST VILLAS
Building Department - Doc Type
Permit
Permit #
19-22019
Building Department - Name
KEITH,DOROTHY
Address
5922 FOREST LANE
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City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)180-0020. <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: .9.0(9 <br /> licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect Building Inspector._ <br /> License No. CCC--O. 7 Z <br /> On or about=It7 9 did personally inspect the: <br /> Check: Roof Deck Nailing. Dry in ✓ Flashing and Drip edge <br /> Check why <br /> ich was used: 30#felt ..Peel and Stick.. Other(List).. F . <br /> At the following <br /> address: -121 Z�� <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 /> Signatures <br /> STATE OF FLORIDA <br /> COUNTY OF.PASCO <br /> Sworn to and subs gibed bef a this day <br /> BY: ( ruo <br /> Not ubl tate of Florida <br /> `'•=corm s on�00 i 64s7 <br /> Expires Doom*12,2022 <br /> •3a�;• Bonded TMu Troy Fotn IM�nco.800386a018 <br />
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