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® City of Zephyrhills <br /> .5335 Bin St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 07 f <br /> 4 <br /> I,_ _ U �L!� lt •�. licensed under Chapter 468, Florida:Statutes as a(n): <br /> Contractor.Engineer_Architect_Building Inspector_ <br /> License No. <br /> On or about.6 :If - did:personally in the:-. <br /> Check: Roof beck Nailing Dry in _Flashing and-Drip edge <br /> Check which was used: 30#felt Peel.and Stick Other(List) <br /> At the following, <br /> address: - C1 2 �r. ' t lCll:�l S', PZ. <br /> Based upon that examinational ovmthe'nstallation was done according toahe Hurricane <br /> Mitigation Retrofit Manual.(B%e on Section 553.844, Florida Statutes): <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY O.F PASCO <br /> Sworn too and'sub{{scribed.before this day <br /> BY:_ t�f ii(f d.VI <br /> Notary Public State of Florida <br /> R <br /> SMALDONADO <br /> June18,2023 <br /> ru Troy Fain Insurance 8OQ.3g51019 <br />