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City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> } v <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.:L' a9--m1b2Fk 2D-L1 <br /> licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor VEngineer_Architect_Building Inspector_ <br /> License No. C.CC_ �S <br /> On or abouV1,1oiG1- % did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick_Other(List) <br /> At the following <br /> address: �j1�-I4 K ��U�.��YyCo Xt - <br /> Zefl►,.c�h��1 1 �.r� <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Man a Section 553.844,Florida Statutes). <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed b his day <br /> ` Y P�''•.. YESENIA LEON <br /> Notary Public-State of Florida <br /> BY. Commission 4 GG 317536 <br /> My Comm.Expires Mar 28,2023 <br /> Notary<brictate of Florida Boraed through National Notary Assn. <br />