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i <br /> w <br /> " ® City of Zephyrhills <br /> 5335 8`h St <br /> Zephyrhills FL 33542 <br /> (813}780-0020 <br /> t <br /> ROOFING INSPECTION AFFIDAVIT <br /> i <br /> Permit <br /> I, 16 61 ���G« licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector <br /> License No. eCC/,fig LV S,2 , <br /> On or about a—o:3 -,Pl W did personally inspect the: <br /> Check: Roof Deck Nailing—,)—(— Dry in X Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick Other(List) s <br /> At the following <br /> address: (o0yt — 60�� @2 7 <br /> Based upon that examination,I have determined the installation was done according to the Hurricane <br /> Mitigation Retrofit Manual(Based n Section 553.844,Florida Statutes). <br /> Signature: / <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sworn to and subscribed before this day <br /> B <br /> Not' Publ tate of Florida / <br /> JACQUELINEBOGES <br /> Commission#GG 276457 <br /> ne ,Po°Expires December 12,2022 <br /> •.,oF i�,,.•' Bonded nw Troy Fain Insurance 800.386-7019 <br />