RF-10-22-2489 Inspection Affidavit 141 NW 96 StMiami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
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Permit #RF10-22-2489
DATE: 3/23/2023
INSPECTION AFFIDAVIT
I IRIS J. CHERRY licensed as a(n) Contractor/ Engineer/Architect,
(Print name and circle License Type)
License #: CCC1325485
On or about3/23/2023 , I did personally inspect the roof deck nailing
(Date & time)
work at 141 NW 96 ST
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricang(VitigatLoffftetrotk""M�u_aL(Based on 553.844 F.S)
9
SignagUre
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 day of 4 1
Notary Public, State of Florida at Large
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MICHELLE LOPEZ
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Commission # HH 131127
Expi[e� June 18, 2025
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