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City of Zephyrhills <br /> . : <br /> 5335$erg St <br /> Zephyrhills FL 33542 <br /> (823)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:. . 22342 <br /> 1, Don Bouchard licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor X Engineer Architect,_ Building Inspector <br /> — <br /> License No. CAC1332081 <br /> On or about 1/22/2020 did personally inspect the: <br /> Check: Roof Deck Nailing X Dry in Flashing and Drip edge K <br /> Check which was used: 30H felt• Peel and Stick Other(List) <br /> At the following <br /> address• 4744 Timber Wad, Zephyrhills,FL 33542 M <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 /> Savor o nd ubscrib before this day <br /> BY: Le�,-� <br /> Notary Pub i ate of Florida <br /> EE� k,,'---Notary <br /> KARYL:GANER Publicof Floridaommissio910439My CommiExpires August023 <br />