RF-05-23-1112 Inspection Affidavit 295 Grand ConcPermit # RF005-23-1112
Felipe de Oliveira Cortes
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.aov
r DATE: 10/30/2023
INSPECTION AFFIDAVIT
(Print name and circle License Type)
License #: CCC1331572
licensed as a(nl Contractor Engineer / Architect,
On or about I did personally inspect the roof deck nailing
(Date & time)
work at 295 GRAND CONC, Miami Shores, FL 33138
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigatiop*rofit 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.
JAI
Sworn to and subscribed before me this O day of OCA'Obes- 3,00
•a
Notary Public, State of Florida at Large
Bruna C. Almeida
Comm.: HH 336213
Expires: NOvember 29. 20&,
For Forms and Applications click here:
http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia
miShoresVillage
Rev01142021
Inspection Affidavit
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