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City of Zephyrhills <br /> 5335 r St . <br /> Zephyrhills FL 33542 <br /> (813)78d=0d20 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Perrnit No.: � <br /> ClUO)" licensed under Chapter.468,Florida Statutes as a(n): <br /> Contractor y Engineer_ =Architect Building Inspector_ <br /> License No: 1 31 �l/ <br /> ECG <br /> On or about. did personally inspect the: <br /> Check: Roof Deck Nailing Y�L -Dry in Flashing and-Drip edge <br /> Checkwhich was used: 30#felt- Peel and Stick Other(List) K.1'x llo tiny-he xPL <br /> At the followin <br /> address: Way, <br /> ^c'- <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: f�- -_ <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Swo n to and subscribed before this day <br /> BY: <br /> Notary Public State of Florida �•�.rti. <br /> ,,,,","; '.'TfRESA`A'PIEPER <br /> `�: Wtary..ftbiic-State of Florida <br /> + = Commission rr GG 021659 <br /> + f+�,;�,• My.Comm!-Expires Sep 30,2020 <br /> ���s 9onded.through'NationaLNotarypssn, <br />