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_ City of Zephyrhills <br /> l 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ru. <br /> t <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit NQ L391 -- 2-0 2-1 <br /> I, (4'YYXV' LI licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer_ Building Inspector <br /> License No. C-QQ— t Architect-332 LCjq <br /> On or about t 2—& 12 E3`Z4 did personally inspect the: <br /> Check: Roof Deck Nailing Dry in -k- Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick)!�—Other(List) <br /> At the following .� <br /> address: r fi h . L 3� Sq Z <br /> a <br /> 3 <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 /> z <br /> Signature: <br /> STATE OF FLORIDA ���GNBRE&'//,�/ <br /> COUNTY OFPASCO I 2�01A?Y��C�:; <br /> Sworn to and subscribed before this day l ' = Q *COMM N <br /> 20'1� <br /> BY: CO920764 Q. <br /> Q <br /> Notary Public State of Florida ' j PUB4`GO�\`�\` <br /> FOF �. . <br /> E.a <br /> i <br /> qZ <br /> a <br />