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City of Zephyrhills <br /> 5335 81"St <br /> Zephyrhills FL 33542 _ <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No n <br /> licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor, Engineer Architect_Building Inspector <br /> License No. Q Ge 05-"45- <br /> On or about 11 �-� did personally inspect the: <br /> Check: Roof Deck Nailing l•� Dry in !/' Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_Other(List) �c- <br /> At the follo ing <br /> address: 15 7 5- M t a d a wood LUv <br /> "Z.e-1214 c41, N'`1 S . E 1 33 5 `I 2- <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 /> i <br /> STATE OF FLORIDA ! <br /> COUNTY OF PASCO <br /> .i <br /> Sworn�tyoy _ <br /> and s/�ubscribed before this day <br /> Notary Public State of Florida <br /> i <br /> S*"Y' MIS CHA�LR VELL S <br /> 'y Ci}MMiSSION#.CG 1849" <br /> CXNR S;Fe:ruary 12.2022 <br /> Banded Thsu No Pubii§under writers <br /> .. <br /> k- <br /> d <br /> x <br />