RF-10-22-2556 Affidavit 311 NE 103 StM1iZDADE
Regulatory and Economic Resources
Building Trade Section
11805 SW 26th Street (Coral Way) Room 137
Miami, Florida 33175-2474
miamidade_gov
AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND
SECONDARY WATER BARRIER Hurricane Retrofit for Existing Site -Built
Single Family Residential Structures
O R'S NAME ROOFING PERMIT NUMBER
DATE
PROPERTYADDRE55 CITY
STATE ZIP
111j11r� V `yJj' / � [� r� Pt� z
Dear Building Official.
I' qualifying agent, certify that the roof decking attachment has
been completed in accordance ith Florida Building Code, Existing Volume Section 706.7.1.1 or 706.7.1.2 and a secondary
water barrier has7 rov' ed in accordance with Florida Building Code, Existing Volume Section 706.7.2.
4'--lSignature of Qualifying Agent Print Name
STATE OF FLORIDA COUNTY OF MIAMI-DADE +++**'",�r,IVJ ++•+r+•
Sworn to and subscribed before me by means of p` GQ,•''[sp j-•• �'y '++
ZU'physical presence OR ❑ online notarizations
H'S' z'es
this
Y . Q ��� ••'•••
firm INSO
Signature of NoAy Public 7 01 A '),I 1j,I
Print Name NOTARY
(SEAL)
Personally known
kno - or Produced Identification
Type of Identification Produced
1223 O1-341 3/21