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c <br /> City of Zephyrhills <br /> 5335 80 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> 4 <br /> ROOFING INSPECTION AFFIDAVIT- <br /> Permit No.-. :ZZ0 4 LF <br /> I, Gl` W.-A \V-tQkCA . licensed under Chapter 468, Florida Statutes as a(n):. <br /> ContractorZEngineer_Architect_Building Inspector_ <br /> License No.CC-11130S4 6 . <br /> On or about. I I - I C.- I.Ct did personally inspect the: / <br /> Check: Roof Deck Nailing ✓ Dry in Flashing and Drip edge el <br /> Check which was used: 30#felt—Peel and Stick✓ Other(List) <br /> At the following <br /> address:__-_�_q. c i ti. A.V e- <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 558.844, Florida Statutes). <br /> Signature: <br /> STATE OF.FLORIDA <br /> YAJessi Lozano <br /> ss <br /> COUNTY OF PASCO o� °o.NOTARY PUBLIC <br /> c -STATE OF FLORIDA <br /> Sworn to,and su scribed, before this day ys ��Comm#GG152777 <br /> El Explres 10/18/2021 <br /> BY: <br /> No ry Public State of Florida <br />