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City 6fZephyrhills` <br /> 5-335 8tn St - <br /> Zephyrhills FL 33542 . <br /> (M)780-0020- ` <br /> 1 .ft- mv <br /> ROOFING INSPECTION AFFIDAVIT <br /> i <br /> Permit No,: 2 2 2 9.2, 113 P O <br /> t I <br /> , 1 <br /> a s 011 licensed Minder Chapter 468, Florida'Statutes as a(n): <br /> P , <br /> Contractor Engineer; Architect Building Inspector <br /> .License Na. , C c c 1 .73�s <br /> On or about J 71f j j Z_0 ��'d personally ins ect the: <br /> Check: Roof Deck NailingDry in Flashing and Drip edge <br /> rY <br /> Check which was used: 30#felt Peel and Stick Ather(List) .. <br /> At the following <br /> address: �$D$�- 7`bit{ <br /> i <br /> Based upon that examination,.! have determined'the installation was done according to-the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553.844,Florida)Statutes). <br /> Signature: � V-4 /4, <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> SwornO and subscribed before this d / lZ OM47 <br /> b <br /> BY: <br /> Notary Public State of Florida <br /> o Pv ruQ`c I JACQUELINE AWORKMA2 <br /> MY COMMISSION#GG 1 <br /> *• 98 <br /> w: eS EXPIRES:June 30,2022 <br /> 4' Public Underwriters" <br /> Thru Notary <br /> ,off„ Bonded <br /> li -r <br />