RF-17-2711 SNORESRfi
,NG s �,c iamiVillage hores
Bull googol" Building Department
10050 N.E.2nd Avenue
EN,� Ne Miami Shores, Florida 33138
�loltl'DA Tel:`(305) 795.2204
Fax: (305) 756.8972
RE: Permit# ( -All DATE: -
INSPECTION AFFIDAVIT
licensed as a Wno%ntor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License#: r.l '0 �[
On or about IN I I '4
I did personally inspect the roof deck nailing
(Date&-time) —
work at �1 Or I D
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual(Based on 553.844 F.S)
4ftafu;r�e
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above;property
mentioned.
I
Sworn to and subscribed before me this day of
��rµv np ,,, CATHERINE:ADUFFINNotary Public, Sate of Florida at Larg r = NotaryPublic- eofFlorida1441-17— V Commission 104296yMy Comm.Expiray 14,2021,`.� NondcdlhroughNalNotaryAssn.
'General,Building,Residential,or Roofing Contractors or any individual certified under468 F.S.to make such an inspection.Include photographs of each plane"of the roof with
permit#and address#clearly shown marked on the deck for each inspection
Paidenrl nn r7Nn1'N1A\6191/9M0