RF-07-2425Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 03/23/2008
Inspector: Grande, Claudio
Owner: CRISOLOGO, FLOR
Job Address: 797 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Permit Type: Roof
Inspection Type: Final
Work Classification: Hurricane Mitigation
Block:
Phone Number 786/877 -0075
Parcel Number 1132060142050
Lot:
Building Department Comments
ROOF MITIGATION
MAR 2 4 2000
Passed
I//t)
Inspector Comments
Final certification by GC OK, on file. 3/21/08 CG
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Sunday, March 23, 2008
Page 2 of 2
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 03/23/2008
Inspector. Grande, Claudio
Owner: CRISOLOGO, FLOR
Job Address: 797 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Permit Type: Roof
Inspection Type: PE Certification Letter
Work Classification: Hurricane Mitigation
Block:
Phone Number 786/877 -0075
Parcel Number 1132060142050
Lot:
Building Department Comments
ROOF MITIGATION
440° w
1(1')/1
Passed
-51
Inspector Comments
Final certification affidavit by General Contractor OK, see attached.
3/21/08 CG
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Sunday, March 23, 2008
Page 1 of 2
7/ ee S'heogeig Wage We4 Vea ieei
10050 NE 2nd Ave * Miami Shores, FI 33138
Phone 305-795-2204; Fax 305-756-8972
' MAR 2 ' 2300 ti'
BY:
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
10050 NE 2nd Ave
Miami Shores, FI 33138
Date: 2 2 l- d 5
Re: Owner's Name: F for D. Crisokjo
PropertyAddress:1g] NE q Mi i Shores, FL 33 I3R-2q 14
Roofing Permit Number: R F Ob
Dear Building Official:
I Joseph A. Gr certify that I have improved the roof to wall connections of
the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built
Single Family Residential Structures as adopted by the Florida Building Commission by Rule 9B -3.047
F.A.C.
nature
CM, 024101
License Number
State of Florida
County of Dade
Joseph A. Go( Idie.
Print Name
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 2 t sf-
day of leiorLicor y 20 09
Notary Public, Sate of Florida at Large
(SEAL)
<Y eite GLADYS BARRERAS
1:1 MY COMMISSION # DD 375463
4a EXPIRES: November 29, 2008
Bonded Thru Notary Public Underwriters
1
FINAL COMPLIANCE