RF-08-23-2029 Inspection Affidavit 534 NE 94 StPermit # RF-08-23-2029
TIMOTHY KANAK, PRESIDENT
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
DATE: 10/27/2023
INSPECTION AFFIDAVIT
(Print name and circle License Type)
licensed as a(n) ontracto / Engineer / Architect,
License #: CCC1331944
On or about 10/25/2023 1 did personally inspect the roof deck nailing
(Date & time)
work at 534 NE 94TH ST MIAMI SHORES FL 33138
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation 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 day of
i
Notary Public, State of Florida at Larg L
: rp JAMIE M WRPPERER
+°(•�� Notary Public • State of Florida
Commission i HH 247667
`af My Comm. Expires Mar 31, 2026
•••Bonded through vatianal Notary Assn,
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
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