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City of Zephyrhills <br /> r 53358 1h St <br /> Zephyrhills FL 33542 <br /> ' (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: S'P3 <br /> I, I,/t A/ licensed under Chapter 468, Florida Statutes as a(n):. <br /> Contractor Engineer_Architect_Building Inspector <br /> License No. <br /> On or about �. « f� did personally inspect the: <br /> Check:. Roof Deck Nailing Dry in Flashing and Drip edge v <br /> Check which was used: 30#felt_Peel and Stick_Other(List) 5^Xf�T ��iG <br /> At the following s1 <br /> address: <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 /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Public State of Florida Or <br /> 0,0??"' CAROLYN CARLBERG <br /> ;,,• *: MY COMMISSION#GG 93 W <br /> sa Qo= EXPIRES:December 9,2023 <br /> �''opF;°°••BondWUMNotaryRftUWenMit= <br />