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City of Zephyrhills <br /> a � 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: // i <br /> I 4' L1 licensed under Chapter 468 Florida Statutes as a <br /> p n :{ } <br /> Contract ____Engineer ii Architect Building Inspector <br /> License No: <br /> On or about �8` 2�Z� did personally inspect the: <br /> Check: Roof Deck Nailing tf Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_Other(List) 6+ &t f 1fLil1`'f/l <br /> At the following ���'.�,/' <br /> address: ov <br /> 2LZ-#�L-it <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit nual{Based on Section 553.844,Florida Statutes}. <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: ey_�O�— <br /> Notary Public State of Florida <br /> Notary Pat State of Florida Pr <br /> Tina M Prater <br /> My Commission GG 211065 <br /> at Expires 04125/2022 <br /> L 1p <br />