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City of Zephyrhills <br /> 5335 8a'St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> N%- AV" <br /> ROOFING INSPECTION AFFIDAVIT <br /> Perm* o:: <br /> I, dbe <br /> t` E//, licensed under Chapter 468,Florida Statutes as a(n): <br /> a <br /> Contractor Engineer ArchitectGJ Building Inspector <br /> License No. <br /> On or about 2 2 id personally inspect e: ' <br /> Check: Roof Deck Nailing DZPeel <br /> lashing and Drip edge <br /> Check which was used: 30#feltnd Stick Other(List) <br /> At the following <br /> address: P <br /> Based upon that examinati n,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 /> ii <br /> STATE OF FLORIDA *~ <br /> COUNTY OF PASCO <br /> Sworn to s r*bed fo t 's day <br /> B <br /> o ary Pu tate Florida <br /> 's ►�Otary Mubiic State or Florida <br /> • Peggy Garcia <br /> oy r,.✓+ pMy C S 07 g Zp22'Won GG ommission GG 233699 <br /> s <br />