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I <br /> f <br /> r <br /> City of Zephyrhilis <br /> E l 5335 81'St <br /> ' Zephyrhills FL 33542 <br /> 4 <br /> (813)780-0020 s <br /> • I <br /> f <br /> y <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No:: <br /> f� •�{ i` <br /> Z5, / "i p�it{t� licensed under Chapter 46$,Florida Statutes as a(n): <br /> Contractor V Engineer Architect Building Inspector <br /> License No. <br /> CC r 1__39SC2o5- <br /> On or aboutJ�w 1 did personally inspect the: <br /> Check: Roof Deck Nailing Dry in ✓ Flashing and Drip edge V i <br /> Check which was used: 30#felt_Peel and Stick Y Other(List) <br /> �r <br /> At the following / n f <br /> address: (P�y EV,l� L—GZ/1e. <br /> t <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 /> x sF <br /> Im. <br /> .a <br /> Signature: <br /> STATE OF <br /> COUNTY OF PASCO ` <br /> I: <br /> S n to and subscribed are this day \ i` <br /> BY: <br /> Notary Public Sta of Florida [ <br /> VIRGINIA A DORR <br /> ;,o 'pSState of Florida-Notary Public <br /> Commission # GG 17Eid tl <br /> My Commission tsx�ir�� 1: <br /> o. <br /> February 96,26�•2 <br /> r; <br /> �i <br /> i�. <br />