RF-07-20-1549 INSPECTION AFFIDAVITMiami hores Village
Building Department
RE: Permit #. �� 0 > -' '-' - Zi L y
INSPECTION AFFIDAVIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
r
DATE: l s�'� /3 za C- v
` ' 6/%-( / &, /4 ^ licensed as a (n ontfacto ngineer / Architect,
(Print name and circle License Type) FS 468 Building Inspector
License #: 6L C 3-3/ Z E U
On or about O =�' �� /G •' s �' �'` I did personally inspect the roc'l deck riGilin
(Date & time)
work at ,G`C� / s T '. ; ,: s 0,-eS I �. 7 s /0
(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 ' -__ day of
� 1 -
t
A�qy':4 z&-
Notary Public, Sate of Florida at Large
L
y Public State of Florida
dia Soler
ommission GG 225691
es OBi0612022
'General, Building, Residential, or Roofing Contractors or any individual cerlified under468 RS to make such an inspection Inclue o e root wit
permit # and address # dearly shown marked on the deck for each inspection