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2/6/2020 Roof Affidavit I Zephyrhills,FL <br /> City of Zephyrhills <br /> 6336 8th St <br /> Zephyrhills FL 33642 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:0 <br /> l,�o D �CQci licensed under Chapter 468, Florida Statutes as <br /> a(n): <br /> Contractor Engineer. Architect Building Inspector <br /> License No. `—`'lit <br /> On or about. 3f 12Q did personally inspect the: <br /> Check: Roof Deck Nailing v� Dry in `l Flashing and Drip edge <br /> Check which was used: 30#felt V Peel and Stick Other(List) <br /> At the following address:'3509 �p (D A4_ 2±:&� Ur4'[ ttS F-t- �5: <br /> Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation <br /> Retrofit Manual (Based on Section 5.53.844, Florida Statutes). <br /> Signature: <br /> 11-7 <br /> STATE OF FLORIDA <br /> COUNTY OFrASCQ� <br /> Sworn to and subs s day <br /> BY' PMSCUABUMCOURT <br /> W COMMISSION#GG 831987 <br /> -� aA`,.' EMRES:SWOMW?,2W <br /> Notary Public State of Florida -§•°��°•'� 7W+►+ftnPd* <br /> ci.zephyrhills.fl.us/515/Roof-Affidavit 1/1 <br />