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City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> ..Permit No.: � <br /> I, ✓{-" licensed-under Chapter 468, Florida Statutes as a(n):- <br /> Contractor-xEngineer Architect`Building Inspector_ <br /> License No. 1.�CU J <br /> On ar'about?11�12 If did personally inspect the: <br /> Check: .Roof.Deck Nailing L.� Dry in l� Flashing-and-Drip edge L.f <br /> Check which was used: .. 30#felt Peel and Stick Other(List) <br /> At the following <br /> address: .311'3 6. O/Lft- A—wC-. . ?-'cog <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 /> STATE,OF FLORIDA <br /> COUNTY OF PASCO: <br /> Sworn to and subscribed before this day <br /> BY: <br /> Not Public ate of Florida t""�. JACOUELINESOGES <br /> `,• Commission#GG 276457 . <br /> Expires December 12,2022: <br /> ° p Bonded Thto Troy Fain insurance 8064W101i <br />