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ED <br /> City of Zephyrhills <br /> $335 81'.St <br /> Zephychills-FL 33542 <br /> (823)780-0020.. <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> 1, L?��5��. Nu�sx� licensed under Chapter 468;Florida Statutes as a(n):. <br /> Contractor zs Engineer__Architect_BuildinglnspectorT <br /> License Na.. .6GG7?-40rI i . <br /> On or:about Fall <br /> did personallyinspect the: <br /> Check: Roof_Deck D m Flashin and Dri ed e Dry g p g <br /> Check which was used: 30#felt Peel-and Stick=Other(List) I-IPo; SY..�far . <br /> At the following.. <br /> address: 3�6y3 1y2eA b� aeo �• <br /> Based upon that:examination, t.=Have determined:the installation viral done according to the Hurricane <br /> Mitigation.Retrofit Manual-(Based on Section 553:844,Florida:Statutes); <br /> Signature,' . <br /> w <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO: <br /> Sw, to scr ed before this day <br /> BY: <br /> Notary Public State of Florida <br /> pAUL FR�K HLOSKA <br /> Y PU <br /> NotarypubliC-5tatcofFlorida <br /> Commission#GG 100013 <br /> N; My Comm,Expires May <br /> 1,2021 <br /> '9�ars•4°¢•' gondedihloughNalionalNalaryAssn, , <br />