RF-03-23-538 INSPECTION AFFIDAVITMiami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl. ov
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Permit # RF-03-23-538 DATE: 03/30/2023
INSPECTION AFFIDAVIT
Edin Almendarez licensed as a(n) Contractor / Engineer / Architect,
(Print name and circle License Type)
License #: CCC1332509
On or about 03/21 /2023 - 12:30 PM , I did personally inspect the roof deck nailing
(Date & time)
work at 145 NE 98th Street Miami Shores, FL 33138
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S)
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Signature
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 /3 day of XI-110 (Z-,
Notary Public, State of Florida at Large
ri Fr,
EMMANUEL ORDAZ
pay' . �8'�= PJotary Public State of Florida
Commission # HH 42811
My Commission Expires
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September 15, 2024
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
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