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{ J <br /> p, <br /> r © City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> i <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> i <br /> I, licensed under Chapter 46%Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector <br /> License No.. <br /> Or!or about did.personally inspect tlie: <br /> Check: Roof Deck Nailing--k,L Dry in Flashing and Drip edged '/ _ <br /> Check which was used: 30#felt_Peel and Stick_Other(List) ZC(' _ r4{hdwor <br /> At the following -\\ <br /> address:. r �{yc�b 1 <br /> `J <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, rida Statutes): <br /> i <br /> �p4A COS''• <br /> Signature: `��©4•.�;oT..... <br /> 1 7 <br /> STATE OF FLORIDA = My Gomm.Expires; <br /> April 15,2023 <br /> No.GG 323832 <br /> COUNTY OF PASCO ; Q <br /> Sworn to and subscribed b' fare this day I l O '�i,F pF LO���` <br /> ///rirrll\\\` <br /> BY: cf b r G i'l Ci <br /> i <br /> Notary.Public State of Florida <br /> i <br /> i <br /> 1 <br />