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City of Zephyrhiiis <br /> l 5335 81'St <br /> Zephyrhills FL 33542 j <br /> (813)780-0020 <br /> s, <br /> ROOFING INSPECTION AFFIDAVIT ` <br /> ..Perin I t — <br /> I, licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engl er_. Architect—Building inspector <br /> License No. <br /> (� did personally inspect the: <br /> On or about :5—27" <br /> Check: Roof Deck Nailing r-� Dry in - Flashing and Drip edge l J <br /> Check Which was used: 30#felt Peet and Stick =Other(List) F Keoei�'� <br /> -- i <br /> At the following <br /> 9c�w HC <br /> address* -?§ / V <br /> Based upon that exami, tion,l have determined the instaliation was done.according.to the Hurricane ' <br /> Mitigation Retrofit a al(Rased o Section 553.844,Florida Statutes). <br /> Signature• <br /> STATE-OF FLORIDA <br /> COUNTY OF PASCO <br /> i <br /> Sworn to and subscribed before this day i <br /> BY: <br /> Notary Public State of Florida <br /> i <br /> i <br /> r <br />