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City of Zephyrhills <br /> 5335 81'St <br /> '• Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No:;t� 00 ( 2..2ct — Lo Z10 <br /> 6 licensed under Chapter 468,Florida Statutes as a(n): <br /> Contractor Engineer_Architect_Building Inspector <br /> License No. CW i S 32 [ <br /> On or about 12 1 Z-b 1 2-0 did personally inspect the: <br /> Check: Roof Deck Nailing Dry in Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_Other(List)_ STp <br /> At the following <br /> address:—.57411X, 'ZL 6; �C <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 ���jNBRF6 <br /> COUNTY OF PASCO <br /> p�A?y'9'C� <br /> Q MY Comm Expo c <br /> Sworn to and subscribed before this day 2�� _ 0cWW8,2023 N _ <br /> BY: �u, ' C No.GG 920784 <br /> Q� <br /> Notary Public State of Florida "7"-4F OF'F`,cps, <br />