RF-04-22-946 AFFIDAVIT OF COMPLIANCEMiami 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:
Re:
TO SECTION 553.844 F.S.
Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores, FI 33138
Owner's Name:
Property Address: 09 N�E i 0`5 5
Roofing Permit Number: _� - D.?
Date: 1040-0217-
Dear Building Off]
Itc t L
certify that I have improved the roof to wall connections of the referenced
Xpropeqy a Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential
by the Florida Building Commission by Rule 9B-3,047 F.A.C.
Cori LgPrint 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 I'll- day of`-� 20 d�
Notary Public, Sate of Florida at Large <<-C
(SEAL)=-Notaryc State of Florid•
Lora
ssion
23
512Q25
Revised on 5/2112009
FINAL COMPLIANCE