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City of Zephyrhills <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: ZS <br /> TO <br /> I, licensed under Chapter 468, Florida Statutes as a(n): <br /> ContractorR Engineer Architect Building Inspector <br /> License No. C,c G 3 ZI I <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing :! 'Dry in �/ Flashing and Drip edge '—� <br /> Check which was used: 30#t felt��Peei and Stick_Other(List) <br /> At the following <br /> address: �1��-�- }5 - Ana, <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:—4 <br /> STATE OF FLORID <br /> VL <br /> COUNTY OF PASCO <br /> i) ( �/ <br /> Sworn to and subscribed before,this day-) <br /> i e- a i tea 1 a`'C) <br /> Notary Public State of Florida EaIai-)A L c *U1\).So <br /> BELINDA LEE ALONSO <br /> Notary Public—State of Florida <br /> •. •° Commission:GG 118181 <br /> M Comm.Expires Jun 22.2021 <br /> Bap;ed through National hctart Assn. <br />