RF-02-23-445 Inspection Affidavit 560 NE 102 StMiami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
Permit # �� f .LlgS
DATE: p 2
BUILDING REVIEW
APPROVEDI,NARANJO
0310612023 3:43:50 PM
INSPECTION AFFIDAVIT
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Vo licensed as a(n) Contractor /Engineer /Architect,
(Print name and circle License Type)
License #: d@_(S, 0S77-4 7-S
On or about A131, /aoa' I did personally inspect the roof deck nailing
(Date & time) ,1
work at /a tJra' 1,b 2
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigatio
Signature
State of Florida, Miami Dade County:
(Based on 553.844 F.S)
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 Lar
ZD!�— —day of
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IPA rrtC_'rk�Q����.3.
NDtery Public State of Florida
Patrfda Barnes
My Commission HH 143540
Expires 0911 &2025
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
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