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19-22027
Zephyrhills
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2019
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19-22027
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Last modified
2/17/2021 11:19:01 AM
Creation date
2/17/2021 11:19:00 AM
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Building Department
Company Name
COURT SQUARE
Building Department - Doc Type
Permit
Permit #
19-22027
Building Department - Name
HARTZOG,DARRELL & SUSAN
Address
4738 TIMBER WAY
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a e <br /> City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813.).180-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: Z-C)2-7. . <br /> I, c7.h rI `-%�M -�.�-. licensed under Chapter 468, Florida Statutes as a(n): : . <br /> Contractor Engineer. Architect Building Inspector._ <br /> License No. CAL- 133 4W: <br /> On or about l I$- .l did personally i spect the: <br /> Check: Roof.Deck in. . C Dry in Flashing and Drip edge <br /> c <br /> Check which was used: 30#felt_Peel and.Stick�Other(List) . <br /> At the following <br /> address: �f.78 9 i-�►lxr-.. I:.)g <br /> a^h,/lam �- �C ' '*P - <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 /> Signature, <br /> STATE OF FLORIDA <br /> i►� �s�. MICHELLE L.FUPOWICZ <br /> ',+°.•,1 r@ Notary' Public-"state of Florida <br /> CO U NTY O F PASCO �� Commission:GG'96156 <br /> My Comm.Expires Jul 9,2022 <br /> Sworn to and su_b abed before/.this day Bonded through National Notary Assn, <br /> No_tary.P blic State of Florida <br />
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