RF-01-23-53 Affidavit of Compliance 100 NE 104 StMiami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION
HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE
FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date:
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: C—jonUo �i mOt
Property Address:w 0e: 104 c - Mom% ShOrC6 `F L
Roofing Permit Number: RF-01 — —rJ
Dear Building Official:
I MkRcu certify that I have improved the roof to wall
connections of the referenced property as required by the Manual of Hurricane Mitigation
r Existing Site -Built Single Family Residential Structures as adopted by the Florida
Building Orlmission by Rule 96-3.047 F.A.C.
Signature
1Aickel ?era
Print Name
I a.
State of Florida Miami Dade County
The under$igned, being the first duly sworn, deposes and says that he/she is the owner for the
above property mentioned.
Sworn to and subscribed before me this
Notary Yoblic, State j f Florida at Large
(40 day of 20Z-'3
r
ALfXANDRA CALVp
No +Y public State al Florida
Commaslar►
q HH 23 7780
My COMM. Expires Feb 27 2
Bander lhroufh Natfonai Notary
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