RF-11-20-2717 ROOF TO WALL RETROFITMiami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION
RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: I i31' 1
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: r!'Y)nr1u.-e1 Rw ero
Property Address: IQE C:15 "h
Roofing Permit Number: RE-11-ab-ZD-)II-7
Dear Building Official:
I re Ze certify that I have improved the roof to wall connections of the referenced
property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential
Structures as adopted by the Florida Building Commission by Rule 9B-3,047 F.A.C.
- r - -_ r-N—ane Z(=_-_r-X:,
Signature Print Name
State of Florida
County of Dade
The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned.
Sworn to and subscribed before me this \ day of �,S&1-j 20 Z 1
Notary Public, Sate of Florida at Large
(SEAL) rVls REY
MY COMMISSION 9 00222037
'Vc: � EXPIRES August 03. 2022
FINAL COMPLIANCE
Revised on 5/21/2009