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d <br /> City of Zephyrhills <br /> " 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> �7 ROOFING INSPECTION AFFIDAVIT <br /> Permit 1 <br /> licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor'Engineer_Architect_Building Inspector— <br /> License No'. <br /> On or about' did personally inspect the: <br /> Check:- Roof Deck Nailing tl Dry in cam' Flashing and Drip edge c� <br /> Check which was used: 30#felt^Peel and Stick_Other(List) S'(/ftll'rYGTG- <br /> At the following <br /> address: 3 B 8 U . L/ph; <br /> Based upon that examination, I-have deternhiried the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). <br /> Signature: . <br /> STATE OF FLORIDA ; 'Y°t' ;,M DANIEM URIC <br /> ;* *: MY COMMISSION#GG 920738 <br /> COUNTY OF PASCO EXPIRES:OeWu8,2023 <br /> 'TFOF 8'`' Bonded 1Wu Notary PubUc UWemiWrs <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Public State of Florida <br />