RF-07-2240 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
I.- Phone: (305)795-2204 Fax: (305)756-8972
....... ........ ...
I spe ti N fribef ( _ M. . #>er •11'x#1- .
Inspection Date: 11/16/2007 Permit Type: Roof
Inspector: Grande, Claudio
Inspection Type: Tin Cap
Owner: SACKS, MARTHA Work Classification: Roof - New
Job Address: 138 108 Street NE
Miami Shores Village, FL Phone Number
Parcel Number 1121360090050
Project: <NONE>
Block: Lot:
Contractor: OX CONSTRUCTION LLC Phone: (305)610-3768
Buildina Dell3artment Comments
RE ROOF SLOPE SECTIONS infraction Passed Comments
TIN CAP SPACEING True
Nov 16 2007
Inspector Comments
Passed U,
CREATED AS REINSPECTION FOR INSP-66186. Renailing affidavit
not in permit package. Affidavit to be with permit at time of tin cap
inspection. 11/14/07 CG
Failed
Correction 74, 6�006
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Thursday, November 15, 2007 Page 1 of 2
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10050 NE 2nd Ave
� o Miami Shores, FI 33138
Phone 305.795-2204; Fax 305-756.8972
www.miamishoresvillage.com
RE: Permit # � y 1, DATE: / 15
INSPECTION AFFIDAVIT
I
)na ies 1 , licensed as a (n)CInspecor, Engineer/ Architect,
(Print name and circle License Type) FS 468 Building or
License #: � 1 V 1l W
On or about �7 r , I did personally inspect the roof deck nailing and/or
(Dae &time) Q /,�V/ r
secondary water barrier work at 138 , G , /08 8--�rez-l—
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane
MitigatioWRefrofit Manual (Based on 3,844 F.S)
—Signature
State of Florida
County of Dade:
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above
property mentioned.
L/ m�
Sworn to and subscribed before me this 'J day of �UV
Notary Public, Sate of Florida at Large DINIAJWon EROMED652966
eonPfrT F es March 2Mwr,2e es�e�e
`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 #clearly shown marked on the deck for each
inspection