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® City of Zephyrhills <br /> 5335 811 St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> J' PPROOFING INSPECTION AFFIDAVIT <br /> Permit No::° <br /> I, �z1Z/ i licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor V Engineer Architect_Building Inspector <br /> License No. CC C 3 <br /> On or abo t / id personally inspect the: / <br /> Check: Roof Deck Nailin ✓ D V V g ry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_Other(List) n !C- <br /> 4 <br /> At the following �.�1� /� <br /> i <br /> 54 <br /> address: 7t/ s <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 /> P <br /> Signature: <br /> STATE OF <br /> COUNTY OF PASCO i <br /> Sw to and subscribe efore this day <br /> B.. <br /> a <br /> Notary Public St a of Florid <br /> . VIRGINIA A QORR <br /> �' B� :State of Florida-Notary Public <br /> •= Commission M 08 176660 <br /> �•? oa°�� My Commission expirei <br /> February 06, 20 g <br /> F <br />