RF-18-2315 (2)RE: Permit # rg'-c215.
2,icho-1 Prmacior
(Print name and cirde License Type)
License #: CCC 133 Dtbq
On or about 15 iib•
INSPECTION AFFIDAVIT
ami
hores V !nage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE: q
licensed as a (n)(ontract° I Engineer / Architect,
FS 468 Building Inspector
, 1 did personally inspect the roof deck nailing
(Date E. time)
work at 1 -1 ql Mianti Shores, R
(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 I
mentioned.
Sworn to and subscribed before me this - day of
Notary Public, Sate of Florida at Large
EXPIRES March 10, 2020
WO'
1401) 34,11,6 st41N4gAlGorvKi.
'General, Building, Residential, or Roofing Contractors or any individual certified under 468 ES. to make such an inspection Include photographs of each pne of Ire roof with
permit # and address # dearly shown marked on the deck for each inspection