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c <br /> Roof Affidavit <br /> City of Zephyrhills <br /> 5335 81h St _ <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: dQ3QT <br /> I• I G��I I A���{�!0 1<,e licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor XA q Engineer—Architect—Building Inspector <br /> License No. C{,r 33 106 <br /> nn�.. <br /> On or ahout_C(/fC(Q f���4personally inspect the: <br /> Check: Roof Deck Nailing // Dry in ��J/� Flashing and Drip edge L <br /> Check which was used:30#WAY&and Stick!/i08��f(List) 9o0/—, Aley <br /> At the following address:- T �1 r z� h �•h //s' �j 33 Sal2 <br /> Based upon that exa 'on,I have determined the installation was done according to the Hurricane Mitigation etrofit Manual(Based on Section 553.844,Florida Statutes). <br /> Signature: OL Ile—C <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO - n <br /> L•— T o.CQo�--O Sworn tDand subscribed before this day d1 �(n <br /> BY: 1 <br /> Q14.4.State of Florida <br /> oa��h'4 CHRIST�N:GG242268 <br /> `x- - = Notary Public,Sida <br /> o r CHRISTINE PULED y* * Commission'NNotary Public,State of Florida '?on� Commission Ex122 <br /> 4* ^mission No.GG242268 <br /> ysion Expires 07/26/22 <br />