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� c <br /> Roof Affidavit <br /> Roofing Inspection Affidavit <br /> City of 7,cphyrhilts Phone:813-780-0020 <br /> 5335 Sth Street,Zephyrhlls,FL 33542 <br /> Permit Number <br /> 1360 <br /> Name <br /> Kirk Westfal -------- ------ <br /> r 1 am licensed under Chapter 468,Florida Statutes as a(n)o <br /> C,Architect s?Building Inspector 3 Contractor rti Engineer <br /> License Number <br /> jCCC058392 --------_-- ---- — ------- 1 <br /> Personal Inspection Date I personally inspected the: <br /> 1/18/2021 [R] <br /> Dry in (]Flashing and Drip Edge ®Roof Deck Nailing <br /> Check which was used: <br /> 30 Pound Felt (o)Peel and Stick ;Other <br /> If other,please explain: <br /> Address of Roof Inspection <br /> 4 I Timber Way,Zephyrhils,33542 ---------- ---- --- <br /> 1 <br /> 7 <br /> Based upon that examination,I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on Section 553.844,Florida <br /> Statutes). <br /> Signature <br /> r7/— — ----- --� <br /> Stale of Florida <br /> County of Pasco <br /> Sworn to&Subscribed Before This Day Not Public State.of Florida <br /> mm/ddlyyyy. <br /> P11 XV." <br /> CAITWAM <br /> FAYCOMM1SStUN#GG93 = <br /> EXPIRES:Metd114,2024 <br /> flCUnda dedihtuNo"Plf� elMrtitera <br />