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I <br /> r <br /> City of Zephyrhills <br /> ° 5335 81h St <br /> Zephyrhills FL 33542 <br /> i (813)780-0020 <br /> • <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:22 <br /> I,mil, I T WQiyn I CAR _ licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector_ <br /> License No. r.c C133o� i <br /> On or about' did personally' spectthe: <br /> Check: Roof Deck Nailing Dry in y Flashing P g and Drip edge <br /> Check which was used: 30#felt_Peel and Stick . Other(List) <br /> 'At the followin <br /> address:_3155 1 GloA Ayt <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 /> ,r•tp,Fs�p�'• KRISTIN ANN HOSFELD <br /> COUNTY OF PASCO °_ Notary Public-State of Florida <br /> ' Commission;GG 124462 <br /> Sworn to and subscribed before this day '9OFF �' Mycomm,ExpiresJul16,2021 <br /> Bonded through National Notary Assn. <br /> BY: <br /> Notary Public State of Florida <br />