RF-12-22-3107 Inspection Affidavit 9301 NE 9 Pl(5871) FEINBERG, DANIEL
Miami Shores Village - BUILDING DEPARTMENT
Permit # RF-12-22-3107
ZACHARY WALLICK
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.rfjsvjl,gc v
DATE: 02/15/2023
INSPECTION AFFIDAVIT
(Print name and circle License Type)
License #: CCC 1332202
On or about 02/15/2023 - 2:00 pm
licensed as a(n) Contractor / Engineer / Architect,
I did personally inspect the roof deck nailing
(Date & time)
work at 9301 NE 9 PL MIAMI SHORES, FL 33138-2973
(Complete Job Site Address)
Based upon that examinationfl have determined the installation was done according to the
Hurricane MitieAtion
Signature
I (Based on 553.844 F.S)
State of Florida, Miami Dade County:
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
Notary Public, State of Florida at Large
I IS
day of Februol.rc�
L4'0
MISTY J W':, Commission tGGCommission Expire; i)2•20.2G23
Bonded Throunn - C;^anotary
Flerioa • Notarq Public
11
For Forms and Applications click here: . P-W
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Rev01 142021 Inspection Affidavit Page 1 of 1
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5871 Dawn Feinberg
+---
9301 NE 9th Place • Miami Shores, FL 33138
Mon, Feb 13 PM
TEAR OFF
by Erick Toledoo TEARR
5871 Dawn Feinberg
9301 NE 9th Place • Miami Shores, FL 33138
Mon, Feb 13 06:17 PM
by Erick Toledo TEAR OFF
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