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City of Zephyrhills <br /> � 5335 r St <br /> Zephyrhills FL 33542 <br /> (813)78M020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> jqPermit Na.: <br /> I, p� . licensed under Chapter 468,Florida Statutes as a(n): <br /> g Weer_Architect - Building Inspector` . <br /> i <br /> Contractor En � <br /> License NO. LCG 1331 <br /> On or about of.OS O did.personally inspect the: <br /> Check: Roof beck Nailing lashing Flashing and trip edge <br /> Check which was used: 30#felt - Peel and tick. the r(List) I�rha .5,�/h14f 4f <br /> At the foliowing. <br /> -address: S1Dt-A. Act <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 /> Sworn-to and subscribed,before this day <br /> BY: Ar I C, a P,i <br /> :Notary Public State of Florida . <br /> ad4E-O�� <br /> Adc Xy on valenmela <br /> t t� NOTARY PUBLIC <br /> STATE OF FLORIDA <br /> 9. Comm#GGS49102 <br /> e e Expires 1/20/2024 <br />