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i <br /> ' 6 <br /> Q city of 2ep."..ps <br /> Allt:,n $33S 8"St <br /> cf;; `` Zephyth ohs F133542 <br /> (813)780-W20 <br /> �a �N <br /> ROOF114G 113SPECTIOIJ AFFIDAVIT <br /> Permit Na.:�'[� <br /> rctnsed under Chapter 468,Florida Statutes as a(n): <br /> ContractorEnylneerPA(chitect.., BuildingInsp-Cdor_ <br /> License ho. <br /> On or about '- 'tC�t dd personalty inspect the: / <br /> I Check: Rot Qeci t:a Tines Dry In f / Fishing an4 Drip edge V/ <br /> Check which was used: 3Bm felt pcel and Stk�✓Othrr(List) <br /> At the followin <br /> address: <br /> Based upon that examination,I have determined the Installation was dons at:cording to the Nurrictine <br /> Mitigation Retrofit Manual(Based on n SS3.8=.a,Ftoridd Statutes). <br /> Slenature: <br /> i <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed befare this day <br /> BY- <br /> 1%, hoe -40 <br /> votary Public State of Florida r t r <br /> pa} ?isru N Rvyra <br /> p <br /> 4cM./ = OTA no Jtlaon <br /> Scanned with CamScanner <br />