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21-1569
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2021
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21-1569
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Last modified
5/9/2022 10:53:20 AM
Creation date
5/9/2022 10:53:19 AM
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Building Department
Company Name
BRANSON FAMILY TRUST BRANSON,D G & BRANSON,T E
Building Department - Doc Type
Permit
Permit #
21-1569
Building Department - Name
BRANSON FAMILY TRUST BRANSON,D G & BRANSON,T E
Address
37720 ALISSA DR
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D <br /> City of Zephyrhills <br /> 5335 8ch St <br /> _ Zephyrhills FL 33542 <br /> (813)780-0020 <br /> rF <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: BGR-001569-2021 <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 10:00 AM did personally inspect the: <br /> Check: Roof Deck Nailing ✓ Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Sticker Other(List) <br /> At the following <br /> address: 37720 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 +t <br /> Sw rn to and subs ribed before this day <br /> BY: <br /> Notary b'c Stat of Florida <br /> JACQUELINEAWORKMAN <br /> MY COM?AISSION#GG 197211 <br /> EXPIRES:June 30,2022 <br /> Fof F;°Q` Bonded Thru Notary Public Underwriters <br />
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