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LIU <br /> - City of Zephyrhills <br /> :5335 81'St <br /> Zephyrhills FL 33542 <br /> (813)78M020 <br /> MW <br /> i <br /> r <br /> ROOFING!INSPECTION AFFIDAVIT <br /> it No.: <br /> I, D00 licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor.-/Engineer_Architect_Building Inspector <br /> License No. <br /> On or.about U 3 did personally inspect the: <br /> Check: Roof Deck-Nailing. ✓ Dry in ✓ Flashing and Drip edge <br /> -Check which was used: 30#felt Peet and Stick,_Other(List) LV5. POV1 s <br /> At the following <br /> address: Sa 3 to, 10 f" - .6T— <br /> �ft�,,r�-n12s; <br /> I <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: <br /> STATE OF FL IDA <br /> COUNTY OFPASCO KRISTINA EAGER t;441tttIl <br /> ,=o {��State of Florida-Notary Public <br /> Sworn to and subscribed before this day , '_ commission # GG 223598 <br /> "`,"�� „4. my.commission Expires <br /> '/,P,;,`,�°�` May,30, 2022 .. <br /> BY: <br /> Notary Public State of Florida <br /> i <br /> I <br /> r. . <br /> ;y <br /> S.. <br />