RF-08-23-2015 Inspection Affidavit 338 NW 111 TerrPermit #
rf-08-23-2015
David Martin
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
10-13-23
DATE:
INSPECTION AFFIDAVIT
(Print name and circle License Type)
License #:
ccc057987
licensed as a(n) Contractor / Engineer / Architect,
On or about 10-12-23 , 1 did personally inspect the roof deck nailing
(Date & time)
work at 338 nw 111 terr
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane igation Retrofit Manual (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
Notary Public, State of Florida at Large
13
day of
October 2023
MATTHEW E GLAD
`F Notary Public • State of Florida
Commission N HH 298088
aFrL,.• My Comm. Expires Sep 9, 2026
9onded through National Notary Assn.
For Forms and Applications click here:
http://bldg.miamishoresviIlage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
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