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8/19/2020 Zephyrhills,FL <br /> Roof Affidavit <br /> Roofing Inspection Affidavit <br /> City of Zephyrhills Phone:813-780-0020 <br /> 5335 8th Street,Zephyrhills,FL 33542 <br /> Permit Number <br /> B 6 Z-Dzb <br /> Name <br /> I n( (j a <br /> I am licensed under Chapter 468,Florida Statutes as a(n): <br /> 0 Architect EI)Building Inspector ,) ontractor G Engineer <br /> License Number <br /> Personal Inspection Date I personally inspected the: <br /> mm(dd/yyyy E] Dry in Flashing and Drip Edge 0 Roof Deck Nailing <br /> Check which was used: — <br /> (0 30 Pound Felt Cj Peel and Stick Other <br /> If other,please explain: <br /> Address of Roof Inspection <br /> i <br /> Based upon that examination,I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on <br /> Section 553.844,Florida Statutes). <br /> Signature <br /> i <br /> State of Florida <br /> County of Pasco <br /> https://www.ci.zephyrhills.fl.us/FormCenter/Print?formlD=75&Preview=YES&Save=False&savedProgresslD= 1/2 <br />