RF-06-20-1179 INSP AFFIDAVITMiami �-� hores `\`2 iflage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RE: Permit # or— ' 06 _ 20^ l l, T DATE: -il f i IM-0
INSPECTION AFFIDAVIT
I Lka (t I(A)1 t j t _ _ licensed as a (n) vntracto Engineer/ Architect,
(Prirtname and circle License Typo) FS 468 Building Inspector
License #: CCf^ S Z 5 6 %�
On or about �'�(� ZC20t N 10 �y`t 1 did personally inspect the roof deck nailing
(Dale & lime)
worr at 2-90 N6 qS s i , �4iaw« Slnw�s, L, 3 r 3 8
(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)
Signa re
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 l day of v 20-2-6
=National
MARTINEZ
�� State of Florida
Notary Public, Sate of Florida at Large v N GG 94J626
ires Apr 27, 2024
Bunonal Notary Assn.
'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 root with
permit # arc address 4 Geady shown marked on the deck for each inspection
P.—I .r 17rinron+n{U7lrmno