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City of.Zephyrhills <br /> 5335 811 St <br /> ' Zephyrhills:FL 33542 <br /> r rr <br /> D ROOFING INSPECTION AFFIDAVIT <br /> IPPermit No.: <br /> licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor. gineOt Architect—Building Inspector•_ <br /> License No. �1CCI -SS�}S <br /> On or about (9 . ( did personally inspect the: <br /> Check: Roof Deck Nailing 'Dry in Flashing and Drip edge <br /> Check which was used: (30#Lfel��_Peel and Stick _Other(List) <br /> At the following <br /> address: ��q 13 ({ncoln: <br /> ( t 15 1 <br /> Based upon that examination,I have determined the installatiort was done.according to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553,844,Florida Statutes). <br /> r <br /> Signature <br /> t <br /> STATE OF FEGR <br /> COUNTY OF PASCO <br /> Swor �to and subscribed before this d y <br /> Id <br /> Notary Public State of Florida <br /> =ems. <br /> E <br /> LAHAYWOOD <br /> * Notary h0 is=State ofFlorida�. Commission 9GG344085. <br /> My Con;rn.EiDires Aug 24.2023oraeC thmygh,NatiOnal Notary Assn. <br />