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City of2ephyrhills <br /> 5335 WI St <br /> w' Zephyrhills FL.33542 <br /> (813)780=0020 <br /> ROOFING INSPECTION AFFIDAV <br /> Permit No.: <br /> a< licensed der pter.468,;Florida Statutes as a(n): <br /> Contractor ngmeer�. Architect Building Inspector_ <br /> License No.. �.i - n Q <br /> On or.about t' t't?��� did personally insp ct the: <br /> Check: Roof Deck Nailing=— Dry,in Flashing and Drip edge <br /> Check which Was used:: 300 felts Peel and Stick Other qkef <br /> At.the following A <br /> address: . 3� CA ► . , Vrr �6 <br /> O" <br /> Based.upon that examination,.)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 FLORIDA <br /> COUNTY OF-PASCO. <br /> Sworn to and subscribed before this day <br /> r <br /> 20"mP COMMISSION#tIH 626U <br /> CHRIS <br /> Notary Public State of Florida -Moctobar 22,2o2a <br />