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D <br /> City of Zephyrhills \ <br /> 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: /5 <br /> I, ,/ � •wL`�il yI licensed under Chapter 468, Florida Statutes as a(n): <br /> ContractorXi Engineer_Architect_Building Inspector <br /> License No..el C- ct l� <br /> On or about fieS fe-5 70' / did personally inspect the: <br /> Check: Roof Deck Nalling-X- Dry in 1)(5— Flashing and Drlp edge <br /> Check which was used: 30#felt_Peel and StichOther(List) (,*--"%0JWy'A6"v1C <br /> At the following <br /> address: � P <br /> .l6 3 ` <br /> IF I <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: <br /> —(f� <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sw"ate <br /> this ay <br /> BY: <br /> No <br /> N""n"•a CHHl4WW.B ijaGDON <br /> W COMMISSiom#GG 0479 <br /> EXPIRE&July 17,2021 <br /> ,,; r.N gpnded naui Y ctt <br />