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City of Zephyrhills - <br /> a.► n"► u► N � 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813)7SM020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:/3 O 00.(3 0 V- 2 11'2 l <br /> I, licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor�i Engineer Architect_Building Inspector <br /> License No. C I-6 CIY l 2 <br /> On or aboutZAH 2 5- 2 a yd did personally inspect the: <br /> Check: Roof Deck Nailin Dry in �7�111 a)e-, Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick Other(List)_5l�/1 a T c eC.,_ <br /> At the following <br /> address: �! S . l V Y2 t� l� t✓6 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 /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sw"subs this ay <br /> BY: <br /> No <br /> // <br /> J.F <br /> SIM <br /> I rd.'r WC0WMwW#GG1250 <br /> r-vPnWS-j*17.2021 <br />