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20-22443
Zephyrhills
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2020
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20-22443
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Last modified
5/12/2021 11:52:18 AM
Creation date
5/12/2021 11:52:18 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
20-22443
Building Department - Name
LAKE,JEFFREY T & MARY ELIZABETH
Address
5851 17TH ST
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i <br /> ' City of..Ze-phyrhills, <br /> . '.F 5335 8th St <br /> Zephy.rhius FL 3a842 <br /> (813)780-0,020 <br /> j ROOFING INSPECTION AFFIDAVIT <br /> Perm_it No.: .7d`f LO <br /> I,. J\`e v ) R'q 0-6-n licensed under Chapter 468,,Florida Statutes as a(n): <br /> Contractors Engineer Architect__Building Inspector <br /> License No.. CCC[3a 556 5_ <br /> On or about t IJ6 . did personalty inspect the: <br /> Check: Roof Deck Nailing pry. in Flashing and Drip edge <br /> Check which was used: �ItPeel and Stick Other(List), <br /> At the following <br /> address: f t <br /> Z rh, It 333q <br /> Based upon that examination, I have determined the installation was clone according to the Hurricane <br /> Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). <br /> r ' <br /> Signature• <br /> STATE OF P1:M <br /> COUNTY OF PASCO j <br /> Sworp to and.subscribed before this day <br /> BY:, (�JCC .�U� (J� <br /> Notary Public State of Florida <br /> ANULAHAYWOOD <br /> 4 :s <br /> Notary Ptrtilic--State of Florida <br /> Commissior-GG 344085 i <br /> ;Comm.Exaires Aug 24.2023. <br /> 9orcec tNoi:gh:hatiora.hotary'Assn. <br /> • i <br /> i <br /> i <br />
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