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21-1568
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2021
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21-1568
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Last modified
5/9/2022 10:52:30 AM
Creation date
5/9/2022 10:52:30 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
21-1568
Building Department - Name
HARBISON,STEVEN
Address
37722 ALISSA DR
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ID <br /> City of Zephyrhills <br /> 5335 81'St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: BGR-001568-2021 <br /> I, Russell Dodson licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor✓ Engineer_Architect_Building Inspector <br /> License No. CCC1327305 <br /> On or about 2/24/21 at 9:30 AM did personally inspect the: <br /> Check: Roof Deck Nailing V Dry in ✓ Flashing and Drip edge ✓ <br /> Check which was used: 30#felt Peel and Sticker Other(List) <br /> At the following <br /> address: 37722 Alissa Dr, Zephyrhills, FL 33542 <br /> Based upon that examination, I have determined the installation was done acco ding to the Hurricane <br /> Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO n <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary P II State of Florida <br /> t�P'rai JACOUELINEAWORKMAN <br /> MY COM'AISSION#GG.197298 <br /> '* EXPIRES:June 30,2022 <br /> 9�FOF F°'' Bond-ad Thru NO <br /> Public Underwriters <br /> r <br />
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