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4 C ty of Zephyrhills <br /> r 1 5335 81h St <br /> Zephyrhills FL'33542 <br /> �813)780-0020 <br /> • <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No:: <br /> '1/y'jQ'('" ® licensed under Chapter 468;Florida Statutes as a(n):. <br /> Contracto .�%Engineer Architect_Building Inspector <br /> License No. C Cc f q cj <br /> On or about Z 7-!. tO T'i)-i did personally inspect the <br /> Check: Roof Deck Nailing Dry in t/ Flashing and Drip edge <br /> Check which was used: 30#felt=Peel and Stick_Other List��. . <br /> At the following f <br /> address: L 'i : <br /> Fe <br /> Based upon that examination, 1 have determined the installation was done accordiing"to the Hurricane <br /> Mitigation Retrofit Manua .(Based on Section 553.844, Florida tatutes). <br /> Signature: <br /> STATE OF FLO�DA - <br /> ,� r'i�•.• ECTOR FREITES <br /> COUNTY OF PASCO Notary Public-State of Florida <br /> `€ Conmission#GG 271197 <br /> 'FOF My Conm.Expires Oct 25,2022 <br /> Sworn to and sub e e re 1 day .•bonded thro,3h National Notary Assn,, <br /> BY: <br /> Notary Publi tate of orida <br />