RF-05-22-1164 AFFIDAVITD ■ �
C4t1NTY
Regulatory and Economic Resources
Building Trade Section
11805 SW 26th Street (Coral Way) Room 137
Miami, Florida 33175-2474
miamidade.gov
AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND
SECONDARY WATER BARRIER Hurricane Retrofit for Existing Site -Built
Single Family Residential Structures
O ER'S NAME ROOFING PERMIT NUMBER DATE
PROPERTYApp Z. CITY STA ZIP
Dear Building Official:
I� qualifying agent, certify that the roof decking attachment has
been completed in accordance ith Florida Building Code, Existing Volume Section 706.7.1.1 or 706.7.1.2 and a secondary
water barrier hasrov' ed in accordance with Florida Building Code, Existing Volume Section 706.7.2.
Signature of Qualifying Agent APrintame
STATE OF FLORIDA COUNTY OF MIAMI-DADE
Sworn to and subscribed before me by means of
❑ physical presence OR t❑ online notarizations
this ay of i ea+t��ap+{.
by
y My t{5
Signature of tary Public 4 ��m E C"
�y I J y > 2p Tres ; m
Print Name L ri-i r �p N9TARY
Or hoot" -
Personally known
or Produced Identification
Type of Identification Produced
123_01-341 3/21