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logo ,. owl Bltf6 - Building epar e
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
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Fax: (305) 756.8972
RE: Permit# � `` y 7/
DATE:
INSPECTION AFFIDAVIT
1 ~e-r rN"o' '"� Q` { �`e licensed as a (n) Contractor/Engineer 1 Architect,
(Print name and circle license Type) FS 468 Building Inspector
License'#: CCC 3 2- g 8
On or about _ T l63 ..... I did personally inspect the roof deck nailing
(Date&time)work at 9303 AJ. A/llaMl* 44 a/'aM i sko e P S
(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 C1124 day of M4�1 go'g
Ot RODOLFO JULIAN GONZALE6Z
6� � � o� �, NOTARY PUBLIC
Notary Public, Sate of Florida at Large A -STATE OF FLORIDA
` Comm#FF180971
•WE 19,E Expires 12/3/2018
i
'General,Building,Residential,or Roofing Contractors or any individual certified under 468 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