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� t <br /> City of Zephyrhills <br /> rta' eiop A 5335 8`h St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: q <br /> �y�ii7`� <br /> I, - licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer—Architect_Building Inspector_ <br /> License No. l�6C IoMR07 - <br /> On or about did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List) —('Sejl�✓� ` <br /> At the following / <br /> address: �9 1 U0 6rl l <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 /> Signatur <br /> STATE OF F 100 <br /> IDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Public Stale Florida <br /> --04&v Pba,' <br /> Notary Public oks o(Flortd� <br /> Nancy J Brooks <br /> aw 5xp►Cres 0yteizoz2»esao <br />