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21-1398
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2021
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21-1398
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Last modified
5/9/2022 7:10:47 AM
Creation date
5/9/2022 7:10:46 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
21-1398
Building Department - Name
MILLER,ESTHER
Address
37343 DERBYSHIRE DR
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• <br /> 1 <br /> City of Zephyrhills <br /> � ►- 5335 8th St <br /> Zephyrhills FL 33542. <br /> (813)780-0020 . <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No:: Lq /Z-0 0.1 8 zo-_7 <br /> cA t41)Cx,- i licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect=Building Inspector_ <br /> License No. Cc C. — 5L :7-7�Z <br /> On or about hl did personally inspect the: / <br /> Check:'Roof Deck Nailing Dry in 1/ Flashing and Drip edge V. <br /> Check which was used: 30#felt Peel and StickAZOther(List) <br /> At the following r C <br /> address: E3`- �1�-e� , 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 /> (QQL�� <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Public State of Florida <br />
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