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City of Zephyrhills <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780=0020 <br /> s 4 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: <br /> P-17 l IA/ licensed under Chapter 468,:Florida Statutes as a(n): . <br /> Contractor_Engineer Architect Building Inspector_ <br /> License No.. <br /> On or about:: /did personally inspe the: <br /> Check: Roof Deck Nailing v flashing andDri ed Dy e <br /> Check which was used: 30#felt=Peel and,Stick_Other(List) <br /> At the following <br /> address: . <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:,Cam---� <br /> STATE OF FLORIDA , <br /> COUNTY OF PASCO <br /> Sworn t nd subscribed before this day <br /> BY: 31AV <br /> Notary Public State of Florida �p� <br /> SIAYPI,' ERICACHASE <br /> „ MY COMMISSION#GG 365259 <br /> �o EXPIRES:September 14,2021 <br /> '.oP F��•` Bondwi Thru Netery Public Underwriters - - <br />