RF-08-22-2126 Inspection Affidavit 9315 N Miami Ave5302 H,11xrI max
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.cgov
Permit # RF- d�_ Z2-212 b
I ZACHARY WALLICK
DATE: I — 13- Zo 1 ,
INSPECTION AFFIDAVIT
(Print name and circle License Type)
licensed as a(n) Contractor / Engineer / Architect,
License #: CCC 1332202
On or about 2 -10--'1 U\- 2'p w, , I did personally inspect the roof deck nailing
(Date & time)
work at 9315 N MIAMI AVEMIAMI SHORES, FL 33150
(Complete Job Site Address)
Based upon th* Pia examination I ve determined the installation was done according to the
Hurricane Miti ation Retydfit Doanual (Based on 553.844 F.S)
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 13 }VN day of �:cbyvrj.
E,7K911
OMn of =:ori�a
Notary Public, State of Florida at Large22336z
_�mod° My Comm, .xpire
aortet through National ,Jotar4 AWI .
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Rev01 142021 Inspection Affidavit Page 1 of 1