REV-18-364Miami Shores Village
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
❑BUILDING ❑ ELECTRIC ROOFING
❑PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS
-JOB ADDRESS: 3501 NC 9f 54'
City: ' Miami Shores County:.
Folio/Parcel#: I) 3a 0 1, 01 3,69 0
Master Permit No.
❑ REVISION
RECET\TED
FEB 018
BY-
6fiti
FBC 2017
Sub Permit No. Rtv 18 --3b
❑ EXTENSION
❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade Zip: 3 U
Occupancy Type: Load:
Construction Type:
Is the Building Historically Designated: Yes
Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): LAA / /0p t7 i );
Address: 3Sc N l S 4 -
City: /VI GL ,nn „S L 01.eS
NO
FFE:
Phone#: 305 i) 0 " 7 n,�
State: r(
Zip: 3) IoZd
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: J 'i- 400.11
1✓
Address: 15(0 Slitcrm. C c4- /
`-'Phone#:'
/St/ - ff79
City: ))-01.)) State:
Qualifier Name: 13
D h ✓U Q
State Certification or Registration #: (it. - CO -Sb 0S -
DESIGNER: Architect/Engineer:
Address:
Joe! ('Q (A)
zip: j 3 3i7
Phone#: 79'
Certificate of Competency #:
Phone#:
City: State: Zip:
Value of Work for this Permit $
Type of Work: ❑ Addition
Description of Work: 11,
❑ Alteration
Square/Linear Footage of Work:
❑ New/
def;
[Repair/Replace ❑ Demolition
o--rr h e wa (' S
Specify color, of color thru tile:
1 Submittal Fee $ Permit Fee $ , CCF $ .
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CO/CC $
DBPR $ " Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
s
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 a condition 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 areir{spection fee will be charged.
7
Signature`(i
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrurneent��aas acknowledged before me this
'i day of FT: b , 20 1 Q , by :� k day of �T�Pi11
Ctrl 012,- h , who is personally known to
Signature
CONTRACTOR
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:-
Sign:
UBLIC:-
Sign:
Print:
Seal:
* * * ********** *:2222**
APPROVED BY
(Revised02/24/2014)
Cristobal Ort Z
NOTARY PUBLIC
..STATE OF FLORIDA
o Comm# FF920230
fr* xpires r11tsl2ci'is'*************************************
,20 /c- ,by
0 /\✓t,u L i -L CrAJ , who is personalli known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
4
Cristobal Ortiz
NOTARY PUBLIC
_STATE OF FLORIDA
Comm# FF920230
ka**,04ar✓ * 1l**3/2019
Zoning
Clerk
ROOF ASSEMBLIES AND ROOFTOP S
a
Building Code 6th Edition (2017)
cane Zone Uniform Permit Application Form
Section C (Low Slope Application)
Fill in specific roof assembly components and identify
manufacturer
(If a component is not used, identify as `'NA")
System Manufacturer: 6 -7A -Y
Product Approval No.:
/1-10,30, 0 1
Design Wind Pressures, From RAS 128 or Calculations:
P1: /A•0 P2: 7/-7 P3: io1 (9
Max. Design Pressure; from the specifnrq product
approval system: (A/0 0 U
Deck:
Type: '54 ',
Gtr v e J
Gauge/Thickness:
1 « %,
Slope: / ' /02
Top Ply FaMer/Bcan)Wmal:
Surfacing: /J/
Fastener Spacing f r Anchor/Base Sheet Attachment:
Field: / " oc @ Lap, # Rows @ " oc
Perimeter: 6 " oc @ Lap,•# Rows / @" oc
Comer. " oc ID Lap, # Rows q 0 Y " oc ,
Number of Fasteners Per Insulation Board:
Field
Perimeter
Comer
4TN<N
0
^tib
Illustrate Components Noted and Details as Applicabl- j
Woodblocking, Gutter, Edge Termination, Stripping, • lashin,\�'
Continuous Cleat, Cant Strip, Base Flashing, Count rflashing,
Coping, Etc.
Indicate: Mean Roof Height, Parapet Height, He' • ht of Base
Flashing, Component Material, Material Thickn ss, Fastener
stener Spacing or Submit Manufactur rs Details tha
with RAS 111 and Chapter
Anchor/Base Sheet & No. of Ply(s):
Anchor/Base Sheet Fastener/Bonding Material:
Insulation Base Layer:
Base Insulation Size and Thickness:
Base Insulation FastenerBondin
FT.
WOO
/kit
Parap t
Height
Top Insulation Layer: off:
Top Insulation Si
Top Insulatio
Base Sheet(s) & No. • y(s):
4(455 6 sive./
JOU
41c,Ss lot/ Se j-1 Atr t)
`/s '‘ P
Base Sh t Fasterer/Bonding Material: • • • • • • • Cr:1 • • •
N 1/' f �' /M /Ucl0 IJ t J' /t [ci S : • • • •
•- • ••••
Ply Sheet(s) & No. of PIy(s): 02 �Ati1 S 1i tti . Pi ...
Ply Sheet, FastePerr/Ett3717g Material:
Vier 1 !ASS rite &it Pe 7
• •
Top Ply:
470
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Roof
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10RIDA B31}LD VG CODE — BUILDING, 6th EDr11ON (2017)
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APFROVED
ZONING DEPT
FEDERAL
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Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Date: 02-13-2018
Permit Number: 18-364
Rejection Comments:
1. The illustration provided is incomplete. Provide location of the required
termination bar and the flashing over the termination bar
Ismael Naranjo, BO
Building Director
Email: bo@msvfl.gov
9