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City of Zephyrhiiis <br /> _ 5335 81'St <br /> Zephyrhiiis FL 33542 <br /> (813)780-.0020 <br /> .%7q <br /> C <br /> j. <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.- <br /> licensed under Chapter 469,Florida Statutes.as a(n): r <br /> Contractor C/Engineer_. Architect Building Inspector_, <br /> License No. 2C cJ ! <br /> On or about did personally inspect the:, <br /> Check: Roof Deck Nailing _ D ryin Flashing and Dri 'ed e <br /> Check which was used:, 30#felt Peet and Stick'Other(List} <br /> At the following <br /> address: (� � LLB: 4�C45 <br /> Based upon that examination,I have determined the installation.was done according to the Hurricane <br /> f. <br /> Mitigation Retrofit Manual(Based on Section 553.844,Florida Statutes). <br /> Signature <br /> STATE-OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to ar d subscribed before this day " - �ZD <br /> BY: i <br /> Notary Public State of Florida" <br /> + �;s3vgeF,, CAROLYN CARLBERG <br /> MY COMMISSION#GG 9M663 <br /> - Qa EXPIRES:December9,2023 <br /> Bow Thru Notary Pub Ro Undermdtars <br /> i; <br /> r <br />