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1 <br /> o City of.Zephyrhills <br /> 5335 81'St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT' <br /> Permit No.: �.�-` l.f�l �D <br /> I; U V licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer_Architect Building Inspector_ <br /> License No. CW 113111 L <br /> On or about 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:.: . 91G51 U/P V .P,Iv- -A <br /> L� C <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 FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and ubscribed.before this day <br /> BY: �P <br /> CFWS ERICHSEN- <br /> MY COMMISSION#HH56260 <br /> Notary.Public Stateof Florida ,F �° EXPIRES:October 22,2024 <br />