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21-1669
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2021
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21-1669
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Last modified
5/9/2022 12:11:37 PM
Creation date
5/9/2022 12:11:36 PM
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Building Department
Company Name
6701 DAIRY ROAD LLC
Building Department - Doc Type
Permit
Permit #
21-1669
Building Department - Name
6701 DAIRY ROAD LLC
Address
6701 DAIRY RD
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� <br /> City cfZephyxhi|b <br /> SBS8mSt <br /> ZephyrhVlsFL33S42 <br /> (813)780'0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: � 9-7D7~( <br /> �\ . .-�~__ <br /> \/^{%>jLd/' } /»\ \ \\\) licensed under Chapter 468,Florida Statutes asa(n): <br /> Contractor--,Engjnee[__Architect__Building Inspector_ <br /> LicensaNu. Cc-C� \3l54G7 <br /> Onorabo personally inspect the: <br /> Check Roof Deck NuiUn8_ i�� Dryin ^~^ Flashing and Drip edge <br /> Check which was used: 30#felt _Peel and Stick' _Other( <br /> At the following <br /> �n <br /> address 6 <br /> Based upon that examination, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based onScctio '553.844,Florida Statutes). <br /> ` <br /> Signature: <br /> STATE OFFLORIDA <br /> COUNTY OFPASCO <br /> Sworn to:�n;dsubscri re this day <br /> 454 <br /> ' comm. ' <br /> OF <br /> -�- ttiLough National Notary Assn. <br /> ---- ' -- '- '--- -- -- '--- - <br />
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