RF-17-2246 (2) I l
SVc, & Miami• s
,' g,,, - ,,,M Building Department
10050,N.E.2nd Avenue
N OV' � Miami Shores, Florida 33138
�OItIDA Tel: (305 ) 795.2204
Fax: (305)756.8972
RE: Permit# '��— ZZ DATE: id24r7
INSPECTION AFFIDAVIT
I X1,115 OIC licensed as a(n) Contractor/Engineer/Architect,
(Print name and circle License Type) FS 468 Building Inspector
License M CO: 13 2(.--032, {
On or about , 1 did personally inspect the roof deck nailing
(Date�ti e)
work at --701 rc�/71
J1
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual(Based n 553.844 F.S)
Signatur
State of Florida
County of Dade:
The undersigned, being the first duly swom,deposes and says that he/ ' L;UIItra a pro erty
mentioned. '' `i MV COMMISSION#GG035634
EXPIRES October 04,2020
' Swom to and subscribed before me this_ day of
Notary Public, Sate of Florida at Large l
I ,
I
'General,Building,Residential,or Roofing Contractors or any individual certified under 468 F.S.to make such an inspection.Include photographs of each plane'of the roof with
permit#and address#dearly shown marked on the deck for each inspection
114116 AIrMIMM