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City ofZeph <br /> 5335 81h St <br /> Zephyrhills FL 33542 <br /> �_ .. (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: &Q —000 t Z. — Z 07-0 <br /> b- Iom TM,'(kr—� <br /> licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer Architect Building Inspector <br /> License No. CCC ! 336q S <br /> On or about 00" )a—2bZodid personally inspect the: <br /> Check: Roof Deck Nailing Dry in ✓ Flashing and Drip edge t/ <br /> Check which was used., 30#felt_Peel and Stick.ZOther(List)_ <br /> At the following <br /> address: eirn <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: l <br /> STATE OF <br /> COUNTY OF PASCO <br /> Sworn t d subscribed befor is day 0 ('Q _ <br /> BY:__ <br /> Notary Public State of Florida <br /> SHANNON M STUTTS <br /> AP ",-Notary Public-State of Florida <br /> M •= Commission 0 GG 953532 <br /> :�?Mf, :•`- ,My Commission Expires <br /> ' �" January 30, 2024 <br />