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City ofZephyrhilis <br /> jy,y,. ram: •Ft `r- ' 5335 a St <br /> r, <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> PermitNo.: 861&601' t G D +-24Z! <br /> I, 1144, �/K� licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor, Engineer Architect Building Inspector <br /> License No. I'eC 133 af3'9.3 <br /> On or abou Ad personally inspect the: <br /> Check: Roof Deck Nailing J Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick ----Other(List) <br /> At the following <br /> address 3 -7 40 <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 /> Signature: <br /> STATE OF FLOR <br /> COUNTY OF PASCO <br /> Sworn to nd subscribed before this day <br /> BY: <br /> c.No v Public State of Florida ]J5032 <br /> ;".'�"e"Ovv <br /> SHANNON M ST'UNCootammission qt GG 953ridate of My Commission Ex i <br /> ,�0 January 30,2024 <br />