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City of Zephyrhills <br /> 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> 1 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: o 1 (Qlsq --aoa;l <br /> I, P CAI )a rd 0o tq-o a n licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector_ <br /> License No. CCa��2�co,� <br /> On or about did did personally inspect the: <br /> Check: Roof Deck Nailing tii Dry in Flashing and Drip edge <br /> Check which was used: 30#felt_Peel and Stick--v6ther(List) S2�01-\- Q- C 1 n(A Q rlcLq ff wnt <br /> At the following <br /> address: C)ff) 2CQ A Ct. <br /> %J - <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 /> a- <br /> Signature: <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> Notary Public State of Florida <br /> - - -- <br /> 3�� 4"' c oinml3810n#GG 333177 <br /> pirc;;May 12,2023 800.305 701s —_ __ <br /> `mod Thru Troy Fain lnsurenCe — — -- <br />