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City of Zephyrh.ills <br /> S335 a St <br /> ' Zephyrhiils FL 33542 <br /> (813)780=0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 6. p <br /> LAM . licensed under Chapter 468,Florida Statutes as a(n): . <br /> Contractor-L/Engineer_Architect_Building,Inspector17,417 _ <br /> License No. <br /> � 11q <br /> On or.abput did personally inspect the: <br /> Check;: Roof Deck:Naili-nL- Dry in k Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_ Other <br /> (List) ` <br /> At the following " <br /> address: <br /> EPIV <br /> L <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 subscribed before this day <br /> Notary <br /> Public State of Florida <br /> CHRIS ERICHSEN <br /> MY COMMISSION 4 HH56260 <br /> � ' EXPIRES:October.22,2024 <br />