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o moan doa sgned <br /> Daperd=NOTsignedatSiteInspection aperdoasignedatS'rtelnspection <br /> dots NOT signed at Site Inspection dots signed at Site Inspection <br /> Date Approved: Wednesday,February 10,2021 Notes: 5.75i„oo <br /> Date Measured: <br /> Class In PSF 45(8.64) Wind Velocity in MPH 137 S20224 <br /> Ap icaoc + William Irwin J Frame Type <br /> Applicant Phone/Email (813)355-4031 oscmgrou-ch56Cahotmail.com Exterior Siding <br /> Co-A plOC n Loan, Patricia Irwin Year Built 1993 <br /> n N + <br /> Co-Applicant Phone/Email Bucking Req <br /> Contract Date&FOR 2/09/2021 2Qr13Q2®21 Color wi <br /> Home Address 37413 Wedgewood Dr Grids <br /> ------------------- <br /> City,State Zip Zephyrhills,Fl.33542 Frosted <br /> County Pasco impact <br /> Sales Rep John Ventura Non-Impact <br /> Phone Number (727)678-1417 Window Shields <br /> Email Address JVentura@hpawindows.com Door Shields <br /> Branch SIIPe'ter's-mirg Custlnit i 'tatt-.cj '_su_ <br /> RAN3S✓ <br /> 3 w � 1 35.171 <br /> ��� ��•7s 3Qp�.�� yp�p7�� <br /> 3 <br /> i <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 1s \ <br /> 16 <br /> 17 <br /> 19 <br /> 20 <br /> Customer Signature: paw; ®Z/ (B Doyo6 have an HO • Yes or No <br /> (Please dide one) <br /> Measu red By;. - � � - <br /> - Do you live in a Flood zone Yes or No <br /> Date-Measured: �� J � (Pleasadrdeone) <br /> Last Revision Date:0918 Page 1 of 6 <br />