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c ► <br /> D <br /> City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> :ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 6GR-oc VA&3-anal <br /> I, licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor �Ongineer_Architect_Building Inspector_ <br /> License No. CC'l'- CSl3 y <br /> On or about 10 did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick Other(List) <br /> At the following <br /> address: O Q <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrof+Manu (Basedn Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to ands scribed a ore is ay �� kd 202( <br /> BY: <br /> Notary Public State of Florida <br />