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City of Zephyrhilis <br /> 5335 81"St <br /> r .. Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING;INSPECTIION AFFIDAVIT <br /> Permit No <br /> Mill � licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor V Engineer,_Architect_Building Inspector_ <br /> License No. <br /> On or about 4M did personally inspect the: t� <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick V Other(List) <br /> At the following / �j;'' �f <br /> address: �731 Y l t l� <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 /> f <br /> STATE O <br /> 4& <br /> COUNTY OF PASCO <br /> S n to and subscribe <br /> BY: 1 i <br /> Notary Public Sta of Florida <br /> VIRGINIA A CJORR <br /> State of Florida=Notary PuEilie <br /> = <br /> � <br /> Comm '1768 0 <br /> My <br /> Commission #C4�- <br /> CorfIMi gl0f1 P%Pif�is <br /> OF <br /> oil,F�o�� FebrUery ty�if,g � <br /> �U <br /> a:. <br /> is <br /> �t <br /> 5}1 <br /> y{r} <br /> i <br />