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© City of Ze h rhills <br /> Y PY <br /> 5335 8th St <br /> Zephyrhills FL 33542 <br /> (813)780-0020 <br /> ROOFING INSPECTION AFFIDAVIT <br /> Permit No.: 0 0.f x'?C <br /> licensed under Chapter 468, Florida Statutes as.a(n): <br /> Contractor t/Engineer_Architect_Building Inspector_ <br /> License No. P—c 0 ail <br /> -On or about �- did personally inspect the: <br /> Check: Roof Deck Nailing_L/ Dry in Lam' Flashing and Drip edge <br /> Check which was used: 30#felt Peel and Stick_Other(List) SV��iTL�Ti�i <br /> At the following address: ��� �J� "!`J���✓J 1pot.r#- <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 Y INGRIDROSAR16 <br /> MY COMMISSION#GG 987406 <br /> COUNTY OF PASCO EXPIRES•May 12,2024 <br /> P. Bonded Thru Notary PublicUndenwritets <br /> Sworn to and subscribed before this day <br /> BY: <br /> Notary Publ State of Florida <br />