RF-12-22-3137 Inspection Affidavit 1241 NE 91 TerrDocuSign Envelope ID: D7CFEDC7-CF25-4DCB-AF24-4ECE94EEB605
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APPROVED LNARANJO
01f2712023 3:34:Sa PM
RE: Permit # F F— LZ - 22. 2 a-?
(Print name and circle License Type)
License #: Cj.C. l 3% D(Q 4`1
Miami hores Village
Building Department
INSPECTION AFFIDAVIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE:
licensed as a ( Contractor Engineer /Architect,
FS 468 Building Inspector
On or about 2 S 6 6 Jim I did personally inspect the roof deck nailing
(Dare & 8me)
work at a [ i Q r rn Sfm y - �
(Complete Job WAddress)
Based upon that examination l have determined the Installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553,844 F.S)
'
Signature
State of Florida
County of Dade:
The undersigned, being the first duly swam, deposes and says that he/she is the contractor for the above property
mentioned.
Lawrence R. CASWO
Sworn to and subscribed before me this day of Notary ftbllc
*.1'ro
State•of Florida
Comm# HH053673
Notary Public, Sate of Florida at Large Expires 1o/14/2024
'General. Build % Residential, or Rooflng Contractors or any Individual certilled under 488 F,S. to make such an Inspection. Include photographs of each plane of the roof wllh
permit # and address # dearly shown marked on the deck for each Inspeollon
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