Laserfiche WebLink
4 <br /> City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: / / 2 <br /> t WZO&I licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor'✓ Engineer_Architect_Building Inspector <br /> License No. 1D/L� <br /> On or about I did personally inspect the: <br /> Check: ftocrf Deck tdailing / Dry m FIa`shing and Drip edge -" - - - - - <br /> Check which was used: 30#felt_Peel and Stick_Other(List) <br /> At the followin <br /> address: <br /> KI 1, — <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> Mitigation.Ret'rofit Manual(Based on Section 553,844, Florida Statutes). <br /> Signature: 1i <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day 10 1- '.O2 D t►R`Pu`••. JAMI SURNS <br /> +°� ���, Notary public.State of Florida <br /> Camm6ssinn i GG 363048 <br /> BY: 'orna"' My Comm,Expires Oct 13,2023 <br /> Bonded through National Notary Assn. <br /> Notary ublic State of Florida <br /> ►Y phv,�'-tiL'ca pay'K e.L <br />