RF-16-2335Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Issue Date: 8/22/2016
Permit NO. RF -8-16-2335
Permit Type: Roof
Work Classification: Repair Roof
Permit Status: APPROVED
Expiration: 02/18/2017
Parcel Number
Applicant
25 NW 104 Street
Miami Shores, FL 33150-1237
1121360131270
Block: Lot:
KEITH ROUSE
Owner Information
Address
Phone
Cell
KEITH ROUSE
25 NW 104 Street
MIAMI SHORES FL 33150-1237
Contractor(s)
PRAXIS INDUSTRIES INC
Phone
(305)777-8911
CeII Phone
Valuation:
Total Sq Feet:
$ 2,200.00
60
Type of Work: Repair
Additional Info: REPAIR TWO SMALL SECTIONS OF BARREL
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Repairs
Scanning Fee
Technology, Fee
Total:c .i
Amount
$1.80
$2.00
$2.00
$0.60
$100.00
$9.00
$2.40
$117.80
r
n,.
Pay Date
Invoice #
08/18/2016
08/22/2016
Pay Type
RF -8-16-61042
Cash
Cash
Amt Paid Amt Due
$ 50.00 $ 67.80
$ 67.80 $ 0.00
Available Inspections:
Inspection Type:
Roof Repair
Final Roof
Review Roof
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
construction an. z. ing. ° uthermore, I auth p rize the above-named contractor to do the work stated.
August 22, 2016
Authorized Signature. nt.__ / Contractor / Agent
Building Department Copy
Date
August 22, 2016 1
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 • Fax; (305)756-8972
12/7/2017
To: Current Owner
25 NW 104 Street
Miami Shores , FL 33150-1237
Permit: RF -8-16-2335
Address: 25 NW 104 Street Miami Shores FL33150-1237
Dear Sir or Madam,
Our records indicate that the above referenced permit has expired without obtaining the
proper final inspection. In order to serve you better, we need to keep our files up to date.
As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid
(expired) unless the work authorized by such permit is commenced within six months after its
issuance, or if the work authorized by such permit is suspended or abandoned for a period of
six months after the work is commenced, or completed without obtaining the final inspection
of the work performed.."
Please be advised that open permits will hinder your ability to obtain new permits, refinance or
sell this property.
Please contact the Building Department, within 15 days of receipt of this letter in order to take
care of this matter.
Sincerely,
Ismael Naranjo (CBO)
Building Director
9‘21-\16
Miami Shores Village R CPTVED
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION (gefkle)
El BUILDING ❑ ELECTRIC FROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
r.
AUG 1 8 2016
FBC 2014
Master Permit No. 'Rei `O ---
Sub
Sub Permit No.
❑PLUMBING
JOB ADDRESS:
City:
❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
�S AIw 1 a itki sT/e6-6T
Miami Shores County: Miami Dade
Zip:
Folio/Parcel#: //•.2/3( / -00 3 "'/2 6 Is the Building Historically Designated: Yes
Occupancy Type: RES' Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): J/TH W. R)6 14s6
Address:
City:
.76* U IlJIt/�+ /L7T 5-r_'
/11144w /*/2 s State:
BFE:
NO
FFE:
CALlik
Phone#: J b S eo
Zip: 33/s-0
Tenant/Lessee Name: Phone#:
Email: gok 2. %una € LIZ 1. CGyV,
CONTRACTOR: Company Name:
Address: JOBS V5 !2
City: /v /i
Qualifier Name: 4-64C
/ Zvour; ge s /67,
mertry
State: /cc -
Phone#: cicari 747 - 61i 2 -
State Certification or Registration #: CC -C /12 82 3 y
Zip:
Zip: V/6j
Phone#: i-1= SIC/
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address: City:
Value of Work for this Permit: $ /242
Type of Work: ❑ Addition ❑ Alteration ❑ New
Phone#:
State: Zip:
❑ Demolition
i?c-c Ago ,C CUile.'cc,
Square/Linear Footage of Work:
KRepair/Replace
Ser -77 ,1 2'I9(? r -L
Description of Work: A.et 7w4
Specify color of color thru tile:
Submittal Fee $ b^ ( Permit Fee $ C v • CCF $ co/as $ j'
fi
Scanning Fee $ - t • .)- Radon Fee $ 2 - W DBPR $ _ 2 •- Notary $ 0
`
Technology Fee $ 2 • TV Training/Education Fee $ 0 • 60 Double Fee $ 0
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ ��
Bonding Company's Name (if applicable)
Bonding 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 d cenclitjon to the issuance of a building permit with an 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
The foregoing instrument was acknowledged before me this
/Q day of 1,
/ -41 kVAG
,zd4
, by
n to
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
/r day of
4,4C le , who
, 20f6
by
n to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
EY
MY COMMISSION # FF221177
EXPIRES April 15, 2019
Florida Sorvice.car.
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
,,.,
,•c MY COMMISSION } 21177
,, EXPIRES Apr;l 1'
140 0.3 041 b9 F�urnia^lo+a vs•:.
APPROVED BY Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk
STATE OF FLORIDA
\ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGIA± A" 1"
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
LEKAKOS ILIAS
PRAXIS INDUSTRIES INC
9221 EAST BAY HARBOR DR. STE 30
BAY HARBOR ISLANDS FL 33154
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque restaurants,
and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to
serve you better. For information about our services, please log onto
www.myfloridalicense.com. There you can find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and learn more about the Department's
initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business in Florida,
and congratulations on your new license!
DETACH HERE
RICK SCOTT GOVERNOR
(850) 487-1395
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CCC 1328234 ISSUED: 07/29/2014
CERTIFIED ROOFING CONTRACTOR
LEKAKOS, ILIA&
PRAXIS INDUSTRIES INC
IS CERTIFIED under the provisions of Ch 489 FS.
Expiation data . AUG 31.2016 L1407290001373
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
LICENSE NUMBER
CCC'! 328234
The ROOFING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
LEKAKOS, ILIAS
PRAXIS INDUSTRIES INC
9221 EAST BAY HARBOR DR. STE 30
BAY HARBOR ISLANDS FL 33154
ISSUED: 07/29/2014 DISPLAY AS REQUIRED BY LAW
SEQ # L1407290001373
A
Local Business Tax Receipt
Miami -Dade County, State of Florida
-THIS IS NOTA BILL -DO NOT PAY
6077804
BUSINESS NAME/LOCATION
PRAXIS INDUSTRIES INC
1065 NE 125 ST STE 321
N MIAMI, FL 33161
RECEIPT NO.
RENEWAL
6340160
LBT
EXPIRES
SEPTEMBER 30, 2016
Must be displayed at place of business
Pursuant to County Coda
Chapter BA - Art. 9 & 10
f r
OWNER t, ,-� '$EC. TYPE Of suSINEBS `r -I"
PAYMENT RECEIVED
PRAXIS INDUSTRIES INC 196 , SPECIALTY BUILDING BY TAX COLLECTOR
r—C/O ILIAS LEKAKOSPRES , CONTRACTOR
' I
II 45.00 07/10/2015-
Workt r(s) j 1 f CCC1328234 0221=15006815 _ �l
r. "� '
This Leal easiness Inn Receipt only coignes payout al da Local Dolma Tax. The Receipt b nota ficesei.
permit era eertlication al tip IloldePs tinfNleetiene, a do tussle's.. Holder meat amply with say etwerowatnl a
V F . er nangarernnlentai regalia's,/ bus sad reaulremaaM whish apply to that/edam
The RECEIPTNO. d• how mast ba displayed on alt commercbl rMbNs- Miaai-Dade Coda Sec I e-216. ,
,...6r ` _ f far mars bNnmitiokyisit
L.
CERTIFICATE OF INSURANCE
DATE
oE(MM/D1
PRODUCER AND THE NAMED INSURED
Transworld Building Trades and Contractors Liability Association, Inc. Inc., A Risk
Retention Purchasing Group qualified under the Risk Retention Act of 1986; Federal
Paw 4.
Box
P.O. Box 469
Sandy, UT 84091-0469
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
CERTIFICATE OF INSURANCE DOES NOT AFFIRMATIVELY
NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE
BY THE INSURANCE POLICIES BELOW.
ONLY AND
THIS
OR
AFFORDED
800-851-8364
INSURERS AFFORDING COVERAGE
INSURED
Praxis Industries, Inc.
1065 Northeast 125 Street, #321
INSURER A: NOTICE: Coverage is being provided as part of a Master Group
INSURER B: Policy issued to members of the Transworld Building Trades and
Contractors Liability Association, Inc.
INSURER C: , a Risk Retention 'Purchasing Group' authorized under the Risk
INSURER D: Retention Act of 1986: Federal Law 97-45.
North Miami , FL 33161
"LIMITS SHOWN ARE THOSE IN
Prime Insurance Company
COVERAGES
EFFECT AS OF POLICY INCEPTION"
The policies of insurance listed below have been issued to the insured named above for the policy indicated. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and
conditions of such policies. Aggregate limits shown may have been reduced by paid claims.
OLICY EFFECTIVETYPE OF INSURANCE POUCY NUMBER PDATE EXPIRATIONPDDATE(MM/DD/YY) UMITS
GENERALUABIUTY
COMMERCIAL
1T
aj
GENERAL LIABILITY
Claims Made
Include Products
PRC2648-16010004
01/11/2016
01/11/2017
EACH OCCURRENCE
$ $1,000,000.00
FIRE DAMAGE (Any one fire)
$ N/A
MED EXP (Any one person
$ N/A
PERSONAL ADV INJURY
$ N/A
Include Completed Operations
GENERAL AGGREGATE
$ 52,000,000.00
GEN'L
n
AGGREGATE LIMIT APPLIES PER:
POLICY iI E T II LOC
PRODUCTS - COMP/OP AG
$ $2,000,000.00
Per Person
$ $300,000.00
AUTO
a
II
ia
•
a
LIABILITY
ANY AUTO
ALL OWNED AUTOS$
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
DRIVE AWAY
ANNUAL AGGREGATE
$ $0.00
BODILY INJURY
(Per Person)
S0.00
BODILY INJURY
(Per Accident)
$ $0.00
PROPERTY DAMAGE
(Per Accident)
$ $0.00
GARAGE
SCHEDULE
•
•
•
II
•
•
II
UABIUTY/MANUSCRIPT FORM
AUTO
G. K. L. L.
O.T.R.P.D.
D.O.C.
CARGO
ON HOOK
EMPLOYEE DISHONESTY
WRONGFUL REPOSSESSIO
PER PERSON
5 50.00
PER ACCIDENT
$ $0.00
AGGREGATE
$ $0.00
PROPERTY DAMAGE
$ 50.00
EXCESS
—
—
LIABILITY
OCCUR ❑ CLAIMS MADE
RETENTION $
EACH OCCURRENCE
$ $t)
AGGREGATE
$ $0
$
UMITATION OF COVERAGE FOR ADDITIONAL INSURED
DESCRIPTION OF OPERATION/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISION
Coverage is limited to only insured activities or operations on the Participant Member Declaration Certificate or as may be separately endorsed. Roofing - Residential, Roofing -
Commercial., Concrete., Dry Wall or Wallboard Installation., Painting - Residential & Commercial., Floor Covering Installation.
LJ 1 CERTIFICATE HOLDER
Li 1 ADDITIONAL INSURE
Li 1 LOSS PAYEE
Miami Shores Village
Building Departement
10050 NE 2 Ave
Miami Shores Village , FL 33138
Fax Number: 3057568972
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENT t/E�I.rItgliiiittitiosb.
CERTIFICATE OF LIABILITY INSURANCE
Date
1 8/8/2016
Producer: Plymouth Insurance Agency
2739 U.S. Highway 19 N.
Holiday, FL 34691
(727) 938-5562
This Certificate is issued as a matter of information only and confers no
rights upon the Certificate Holder. This Certificate does not amend, extend
or alter the coverage afforded by the polities below.
Insurers Affording Coverage
NAIC #
Insured: South East Personnel Leasing, Inc. & Subsidiaries
2739 U.S. Highway 19 N.
Holiday, FL 34691
Insurer A: Lion Insurance Company
11075
Insurer B.
Insurer C:
Insurer D:
Insurer E:
Coverages
The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other doaiment
with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terns, exdusions, and conditions of such policies. Aggregate
limits shown may have been reduced by paid daims.
INSR
LTR
ADDL
INSRD
Typeof Insurance
PolicyNumber
Policy Effective
Date
(MM/DD/YY)
Policy Expiration
Date
(MM/DD/YY)
Limits
GENERAL LIABILITY
tCommercial General Liability
Claims Made Occur
r
Each Occurrence
$
Damage to rented premises (EA
occurrence)$
Mad Exp
$
Personal Adv Injury
$
General aggregate limit applies per:
D Policy ❑ Project ❑ LOC
General Aggregate
$
Products - Comp/Op Agg
$
AUTOMOBILE
i.
LIABILITY
My Auto
All Owned Autos
Scheduled Autos
Hired Autos
Non -Owned Autos
Combined Single Limit
(EA Accident)
$
Bodily Injury
(Per Person)
$
Bodily Injury
(Per Accident)
$
Property Damage
(Per Accident)
$
_
EXCESS/UMBRELLA
LIABILITY
Occur ❑ Claims Made
Deductible
Each Occurrence
Aggregate
A
Workers Compensation and
Employers' Liability
ffi
Any proprietor/partner/executive officer/member
excluded? No
If Yes, describe under special provisions below.
WC 71949
01/01/2016
01/01/2017
X
I WC Statu-
tory Limits
I
I OTH-
ER
E.L. Each Accident
$1.000,000
E.L. Disease - Ea Employee
$1,0o0,000
E.L. Disease - Policy Limits
$1,000,000
Other
Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616
Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 24-65-464
Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company":
Praxis Industries, Inc
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL.
Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562.
Project Name:
ISSUE 08-08-16 (PH)
Begin Date 5/15/2015
CERTIFICATE HOLDER CANCELLATION
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
10050 NE 2ND AVENUE
MIAMI SHORES, FL 33138
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
insurer will endeavor to mail 30 days written notice to the certificate holder named to the len, but failure to
do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
Ave/;:....000-).....0.-
RECErkinD
AUG 18 2016
Florida • • - o ' e • 2014
High -Velocity Hurricane Zone uniform Permit/Applic/
Section A (General Informatlont)r,
%G
Process No. \�(*1•A X14,_
• G
• •
•
.•
• •
• •
• •
•
••
stow Permit No:
Contractor's Name INZA4t kms:es
Job Address 2.S" O ti) loft S i
\-145
/,
-'A
❑ Low Slope Q Mechanically Fastened TileMortar/Adhesive Set Tii
E3 Asphaltic E3 Metal PeneUShingtes 0 Wood Shingles/Shakes \/
Shingles Are there
Q Prescriptive BUR RAS't50 Cas Vent Sta ?
Yes Ci Mai
ROOF TYPE
Type: Natural Ci LPGXU
❑ New Roof ❑ Re-Rooflng ❑ Recovering r )Repair 0 Maintenance
ROOF CATEGORY
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
56/
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow
scuppers and overflow drains. Include dimensions of sections and levels, clearly
identify dimensions of elevated pressure zones and location of parapets.
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ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
High -Velocity Hurricane Zone Uniform Permit Application Form
Section D (Steep Sloped Roof System)
01,..0 go lti
Roof System Manufacturer:
-Jisf4 (3/q^1►R
Notice of Acceptance Number: I O VO A- Cvileattl e.11rmFl�p ! na
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: P1: P1:
Roof Slope:
3 : 12
Deck Type:
louleo
Me4a!
War. t46 -r/4.
Type Underlayment
Insulation:
Fire Barrier:
304"
Ridge Ventilation?
'Jowl;
Fastener Type & Spacing:
Adhesive Type:
Type Cap Sheet:
Roof Covering:
(t QS nee;t '1 'k co?,
4.14
Mean Roof Height:
12./
• ..
.
• .
• •• •••• . ••
• • •
•
••
. •
• • • •
• . •
•
• ..
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FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) ' 15.39
Copyright to, or licensed by, ICC (ALL RIONTS RESERVED); accessed by Eliezcr Palacio on Jun 8, 2015 10:32:12 AM pursuant to License
Aver -taunt. No further reproductions authorized.
INTERNATIONAL CODE COUNCIL'
SECTION 1524
HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 Scope. As if 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 owners
initial in the designated space indicates that the item has been explained.
2. ` Renailing wood decks: When replacing roofing, the existing wood roof deck may have to
be be renailed 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 a 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. 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 watt 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.
• •• /
• •�.:•• fes, b"Cs,
• • Q r/Agent gnature Date
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O.
•• is /4%4 •I%�� S f
• • • •Propp-erty RQdtess
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• • • • •
••••
• • ▪ • Revised on 718121709 LD;07/01/2015;
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r
Contract
Aeicl
r Signature Date
Permit Number
MIAM4DADE)
"Delivering Excellence Every Dray"
MIAMI-DADE COUNTY
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
It is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to
explain to the owner the content of this form. The owner's initials in the designated space indicates that the item
has been explained.
1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions.
Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed
as part of the agreement between the owner and the contractor.
2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
3. Common roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: 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
penetrations of the underside of the decking may not be acceptable. The owner provides the option of
maintaining this appearance.
t&
5. Ponding water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original
roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
@verb ded �irj j�"j;a v'uii u p f water. Perimeter/edge walls or other roof extensions may block this discharge if
averflOw sc ipp (wall.dutILts) are not provided. It may be necessary to install overflow scuppers in accordance
v���'`,,f��i__me regtlirenients of CC}apter 15 and 16 herein and the Florida Building Code, Plumbing.
moi• ' 7. r. do latioiy Vast roof structures should have some ability to vent natural airflow through the
istolior of the ctural a s.embly (the building itself). The existing amount of attic ventilation shall not be
2educod-
• • •
• . •.
g�nr Sign u e, • ?1 •
111'
rs
Property Address: 2r fatSi .
•
• ....
•
Contractor's'Mgnature:
700--1
Date:
Permit Number:
i