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RF-17-142 Permit No. RF-1-17-142 `5$, � Miami Shores Village Permit Type:Roof 10050 N.E.2nd Avenue NE Pen '"t Work Classification:Repair Roof Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 R`nP Expiration: 07/18/2017 Issue Date: 1119/2017 Project Address Parcel Number Applicant 1205 NE 95 Street 1132060143970 Miami Shores, FL Block: Lot: JAQULYN NOELL Owner Information Address Phone Cell JAQULYN NOELL 1205 NE 95 ST MIAMI SHORES FL 33138-2549 Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 JOHN BUSTA ROOFING INC (305)219-9699 Total Sq Feet: 48 Type of Work:Repair Available Inspections: Additional Info:SEAL CRICKET AREA VALLEY Inspection Type: Classification:Residential Roof Repair Scanning:3 Final Roof Review Roof Fees Due Amo]$2.00 Pay Date Pay Type Amt Paid Amt Due CCF Invoice# RF-1-17-62655 DBPR Fee DCA Fee 01/19/2017 Check#:2071 $ 116.20 $0.00 Education Surcharge Permit Fee-Repairs $Scanning Fee Technology Fee Total: $11 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi d oning. Futhermore,I authorize the above-named contractor to do the work stated. January 19, 2017 uthorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 19, 2017 1 Miami Shores Village 7JAN-1 CEIVEIg 9 2017 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 y, INSPECTION LINE PHONE NUMBER:(305)762-4949 Cj ` F©BCr20 `y 1 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS !OB ADDRESS: SOS G�a��Z City: Miami Shores County: Miami Dade Zip: 1 Folio/Parcel#://`'32d6— OW"-757-70 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: "Flood Zone: BFE: FFE: ' q I OWNER:Name(Fee Simple Titleholder): U I rJ IVB Phone#: 1G 70 City: State: Zip: _Ienani/lss&.,ee-Name: Q Phone#: Email: a�e, klcd 1�`4.P 1' vTl�� I ( Lmn/1 CONTRACTOR:Company Name: ' 1 0., 46 Phone#:':�2�' 7• 94 0� Address:3e2n xlam pZcST City: NIA //�_ /, e,�,5 ,State: ,�. Zip:Z�-zn9 Qualifier Name: Phone#:��7• y� State Certification or Registration ,#:�C� ' 0,5_90'"/g Certificate of Competency#: DESIGNER:Architect/Engineer:U�iQ Phone#: Address: 6111—A City: State: Zip: Value of Work for this Permit:$ Z.�22i OD Square/Linear Footage of Work: o�r� Type of Work: ❑ Addition ❑ Alteration ❑ New N4ERr Replace ❑ Demolition Description of Work: 66A L Cje/j�!.gg=A,@=_A 1/�.�11 ✓ Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) JBonding Company's Address City State - Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with on estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature A W14 Signature l OWNER or AGENT CONTRACTOR The1fo�going instrument was acknowledged before me this The forgoing instrument was acknowledged before me this CSC— day of J out 20 _ __ _ by _ day ofJ C( h Jwho* 20 1' by w o is ersonallykno toOfi/iC/ �i9 p(sonally k n to me or who has produced fy gQ m ®R 46es Zho LAras me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: S Sign: �" "-- Sign: g Print: 60-y) ra u-S Print: a n r u S Seal: Seal: ��';'�,, SANDRA ANNMWA 3, .: MY COMMISSION t FF 159120 ,....y''•., SANDRA � : MY COMMISSION y FF 159120 -�: ` EXPIRES:September 14,2018 • fid: EXPIRES:September' na 2018 018a k2; &Wad TMu Notary Pub L(M�d�nnbn p ****s*****s***sss•**s***:* ** ********* APPROVED BY I Y 1� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 7JAN C 'EROOF SSE B FTOP STRUCTURES 19 2017 BY:- Florida Building Code 5th Edition(2 1 High-Velocity Hurricane Zone Uniform Permit On 1 t Section A(General Information}'_ 1 Master Permit No.�` r� Process No. 1 Contractor's Namey e1Wx/ 66� Job Address /�/ 9J 1 ROOF CATEGORY 1 ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shin les 1 9 O Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 1 ROOF TYPE 1 ❑ New roof ® Repair M Maintenance ❑ Reroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION 1 Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF) 4/9 Total(SF)� 1 1 1 Section B(Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains. Include dimen. 1 sions of sections and levels,dearly identify dimensions of elevated pressure zones and location of parapets. _ 1 i i 1 w to 1 o ° 1 rn J 1 _ J W 'r. N 1 < 1 0 m � E J } 1 a F- U 1 Da .tF W W0 U 1 p 1 Z a _ 1 a o << 1 N 1 1 1 1 t � )KOV/106-VAr/6E149 FLORIDA BUILDING CODE--BUILDING,5th EDITION(2014) 15.37 Copyngbt to,or licensed by ICC(ALL RIGHTS RESERVED):accessed by Einer Palacio on jun 8,2015 1032:12 AM putmant to License Agreement.No furtba reproductions autbaizod. <pR� SECTION 1524 HIGH VELOCITY HURRICANE ZONES—REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope.As it pertains to the section,it is the responsibility of roofing contractor to provide the owner with the required roofing permit,and to explain to the owner the content of the section.The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations.Additionally,the following items should be addressed as part of the agreement between the owner ant the contractor.The owner's initial in the designated space indicates that the item has been explained. 2. F Renailing wood decks:When replacing roofing,the existing wood roof deck may have to be'rena'ied in accordance with the current provisions of Section R4403.(The roof deck is usually concealed prior to removing the existing roof system). 4. �Exposed Ceiling:Exposed open beam ceilings are where the underside of the roof decking can be viewed from below.The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. 6. le—Overflow scuppers(wall outlets):It is required that rainwater flows off so that the roof is not overloaded from a buildup of water.Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402,R4403 and R4413. iA A Ib I If-AO A---r-Jjj1, j; Or/Ageirs- Signature Date Contractor Signature Date Property Address Permit Number Revised on 7/9/2009 L.D;07/01/2015;