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s <br /> City of Zephyrhills <br /> Hinf�_rnt� 5335 81h St <br /> Zephyrhills FL 33542 <br /> (813) 780-0020 <br /> r <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: Q(-,Q-000g0-1-a0a0 <br /> I, Prl► 1. SCE( licensed under Chapter 468, Florida Statutes as a(n): <br /> Contractor NOEngineer_Architect_Building Inspector_ <br /> License No.PP(l-C1S$13 Ll <br /> On or about Jan 5 W21 did personally inspect the: <br /> Check: Roof Deck Nailing_ Dry in �-1 Flashing and Drip edge <br /> Check which was used: 30#felt—�.—,/Peel and Stick_Other (List) <br /> At the following <br /> address: .333 y q rP Qr n U i dQG. F)V- <br /> Uncl to <br /> Based upon that examin tion, I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit n I al (Based on Section 553.844, Florida Statutes). <br /> Signature:---, � <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and scribed b o e th' day )an 5 20 2. � <br /> BY: <br /> Notary Public State of Florida <br /> Notary Public State of Florida <br /> Alicia Hernweh-Cannon <br /> c. My Commission GG 218378 <br /> OF Expires 06/16/2022 <br />