RF-18-485 (2) SNORES
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
IORiDA Tet: (305) 795.2204
Fax: (305) 756.8972
RE: Permit#-B,-F-Z' 1�d— $S DATE:
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INSPECTION AFFIDAVIT
I
VA/a-rko C-ef r-0 n licensed as a (n) Contractor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License#: Eta So D t' l
On or about- M ov-d U, , Zo / —, 1 did personally inspect the roof deck nailing
(Date&time)
work at d 7 3 N l;— 1;,S" Sf
(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)
Signature
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.
Sworn to and subscribed before me this_ f G' day of �L�''��y a-v Y
Jose A.Giron
Notary Public, Sate of Florida at Large Commission I FF990930
BOW September 3,2020
Bonded thru Aaron Notary
'General,Building,Residential,or Roofing Contra or individual certified under 468 F.S.to make such an inspection.Include photographs of each plane of the roof with
permit#and address#dearly shown marked on the deck for each inspection
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AFFIDAVIT OF COMPLIANCE WITH ROOF DECImG ATTACHMENT AND SECONDARY
WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT
SINGLE FAMILY RESIDENTIAL STRUCTURES
PURSUANT TO SECTION 553.844 F.S.
To: •al
Miami,FL 33175
Re: Owner's Name m 8 JcK ryec-
Property Address 233 /U 9- StT e_t T- M i ol nn i S
Roofing Permit Number � 2
Dear Building Official:
1 L'vI S 0. Sa I ti.5 certify that the roof decking attachment and fasteners have been
strengthened and corrected and a secondary water barrier has been provided as required by the"Manual
Of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Structures" adopted by the
Florida Building Commission by Rule 9B-3.047 F.A.C.
gent
S1o ' g Ag
'� 15 - ca
Print Name
STATE OF FLORIDA COUNTY OF MIAMI-DADS
Sworn to and subscnbed before me this—?—&
day of� iJ/i�--6-�i 20�_,
(SEAL) ...�.��
DARIO POLANGO
MY COMMISSION#GG 102973
EXPIRES:May 9,2021
111 Bonded Thu Notary Public Undorwrilors
Personally known
or Produced Identification