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fj <br /> -A. �,.'. <br /> e.3f•v>,e±a .'_�'4 ��2�VjI ��. L r,�`,r .!„��,,.f,.;^^F' .. - �'4 <br /> CrtY of Zephyrhilts <br /> tyy 5335 8th St <br /> Zephyrhills FL 33542 <br /> „ (813)7&t W20 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: ft ��3 Z►�"z� <br /> s1V Pk licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor$Engineer_Architect—Building Inspector_ <br /> Incense No.Cr rt! ';Z VI_1.... <br /> � did personally inspect the: <br /> On or about_ 4LW-1 <br /> Check: Roof Deck Nailing_ ,<- Flashing and Drip edge Dry in ?L X <br /> Check which was used: 30#felt_•_.Peel and Stick Other(List) <br /> At the following 'L <br /> address: <br /> ' I have determined the 11�+risiafiation was done according <br /> to the Hurricane <br /> Based upon that examinatian, Florida Statutes!. ; <br /> Retrofit Manual(Based on Section 553. , <br /> Mitigation <br /> I <br /> Signature: <br /> tom= <br /> STATE OF FLORIDA <br /> 0 t day <br /> CO <br /> scribe <br /> CO�NTM d re his d , <br /> Sworn to <br /> d <br /> "'r •.,: gY' of Florida <br /> public Statea, s <br /> -:. ,.... Notary ux�°R c,,sricz <br /> .::l.��w'+_ y.�. :q,. `. _ 'fit• "! rAl lLn <br /> - <br />