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RF-17-2882 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-2935®2 Permit Number: RF-12-172882 Scheduled Inspection.Date:April 06,2018 Permit Type: Roof Inspector: Naranjo,Ismael Inspection Type: Final Roof Owner: 0 Work Classification: Repair Roof Job Address:351 NE 98'Street . Miami Shares,FL 33138- Phone Number Parcel Number 11320601 30 Project <NONE> Contractor: JOHN 13USTA ROOFING INC Phone: (305)219-9699 « (M +INNYgnew Yf Yi IV f � I Building Department Comments REMOVE AND REPLACE CONCRETE ROLL TILE, infractor asses ?%i►►meats ROOFING FEL"T"S AND FASCIA BOARD, INSPECTOR COMMENTS' False Inspector Comments i� 'Passed ]11 Faked k Correction Needed Re-inspection Fee No Additional Inspections can be heduled until re-inspedion fee is pair I April 01S,2018 For Inspections please call:(305)762=4949 page 8 of 27 Permit mo. RF-12-17-288,2 Ns�!O1S i,� Miami Shores Village Permit Type:.Roof �,. 10050 N.E.2nd Avenue NE - Pen ' WorkCfassificafron:Repair Roof I— Miami Shores,FL 33138-0000 Phone: (305)795-2204 Permit Status:APPROVED tOR, Issue Date:12M2017 Expiration: 06/05/2018 Project Address Parcel Number Applicant 351 NE 98 Street 1132060135630 GLADYS COWEN TRAS& ELIZA Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell GLADYS COWEN TRAS&ELIZABETH 351 NE 98 Street -- - --- MIAMI SHORES FL 33138-2409 351 NE 98 Street MIAMI SHORES FL 33138-2409 Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 JOHN BUSTA ROOFING INC (305)219-9699 Total Sq Feet: 60 Type of Work:Repair Available Inspections: Additional Info:REMOVE AND REPLACE CONCRETE ROLL TI Inspection Type: Classification:Residential Roof Repair Scanning:3 Final Roof Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# RF-12-17-65838 DBPR Fee $2.00 DCA Fee $2.00 12/07/2017 Check#:2129 $66.20 $50.00 Education Surcharge $0.40 12/07/2017 Check#:2128 $50.00 $0.00 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $1.60 i Total: $116.20 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. a � 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 and,zoniri ore, I v1horize the above-named contractor to do the work stated. L December 07, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 07,2017 1 Imc Miami Shores Village E07 20V Building Department S� B 10050 N.E.2nd Avenue, Miami Shores, Florida''33138 - Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 1 r FBC 20jq BUILDING_ _ Master Permit No. �' 2' PERMIT APPLICATION sub Permit No. BUILDING ELECTRIC M ROOFING- REVISION EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑'CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS t 351 NE 98 Street JOB ADDRESS: City: f i 4. .,Miami Shores- • r County:_. h Miami Dade �t Zip: t 11-3206-013-5630 x Folio/Parcel#: f : :E ,'s �'4 r';�' ^x . K _Is'theBuilding Historically Designated:Yes. ;R.- ,,,'NO Occupiift,,Type'.-, Construction Type:-# , .' Flood Zone: BFE:' i' FFE a OWNER:Name(Fee Simple Titleholder):Elizabeth Cowen F Phone#:305-458-0120 351 NE 98 Street Address: a + , Miami Shores Florida ,. 33138-2409 , City: State: Zip: . Tenant/Lessee Name:` Phone#: N/ • Email: ejcown@gmail.com , John Busta Rfg. Inc. 305-219-9699 CONTRACTOR:Company Name: Phone#: Address: 300 N.E..91 Street City: Miami Shores State: Florida Zip: 33138-3130 John Robert Busta L1, `305-219=9699 Qualifier Name: Phone#:. ' CCC-058P48 N/A State Certification or Registration#: a 4 Certificate of Competency#: • r DESIGNER:Architect/Engineer: N/A- - 'f Phone#: N/A - N/A 4 N/A N/A' " N/A Address: City: State: Zip: 1,500.00 A 60 square feet Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ■ . epai Replace ❑ Demolition remove & replace concrete roll tile, roofing_felts, and facia board _ Description of Work: ^i 4 7 .. ... 4 n,.•'.:xw „t.r4�;,aw.ow .iti,n.aa wii�w ,�^ s• tth� gar Spedy icolor of color thru tile:/ Submittal Fee$ `JD Permit Fee$ 6-7 CCF$ CO/CC Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee'$ - Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEENOW DUE$ ��• ZO (Revised02/24/2014) .4�t •i t. t r Bonding Company's Name(if applicable) N/A Bonding Company's Address N/A f r city N/A State N/A Zip N/A Mortgage Lender's Name(if applicable) N/A o Mortgage Lender's Address N/A City N/A State N/A N/A Zip t 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 iprior to the issuance of a permit and that all work will be performed to,fneet 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 t . , . 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 a"nd'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. _ ^ Sign atu e "--� �t �`1�� VU Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged'before me this 28th. November 17 28th. November _ 1.7 qday of 20 'by November 20 by Elizabeth Cowen _ John R. Busta • - who is personally known to who is personally known to e me or who has produced as me or who has produced as identification and who did,take an oath. identification and who did take an oath. , NOTARY PUBLIC: _ NOTARY PUBLIC: Sign: Sign: Print: Print: Sandra A. usta Seal: " i SANDRA ANNBUSU Seal: :�+'%i •, c0"% 4vNBWA .: iar e864.k4ISSION 1 FF 159121 ��, _ ��, : •:v A w FF 15!120 a, a EXPIRES:September 14,2018 . �,�. c aptember 14,20U; jaonded Thru Ndtary Puft Undmrri�n 1tf,h' 8onde?t hn. cN'PuMi U6ovw s APPROVED BY V Plans Examiner Zoning I r fir' Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami-Dade County Page 1 of 2 OFFICE OF THE PROPERTY& APPRAISER 'I Summary Report Generated On: 12/7/2017 Property Information _ !' _ . �a .- Folio: 11-3206-013-5630 351 NE 98 ST Property Address: Miami Shores,FL 33138-2409 t �• GLADYS COWEN TRS ELIZABETH COWEN TRS e Owner GLADYS COWEN ELIZABETH COWEN ' ` C 351 NE 98 ST Mailing Address MIAMI SHORES, FL 33138 PA Primary Zone 1000 SGL FAMILY-2101-2300 SQA'" Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT • f, �. "�� p� _� Beds/Baths/Half 4/2/0 Floors Living Units 1 Actual Area 3,768 Sq.Ft Taxable Value Information Living Area 3,308 Sq.Ft 2017 2016 2015 Adjusted Area 3,519 Sq.Ft County Lot Size 11,500 Sq.Ft Exemption Value $50,500 $50,500 $50,500 Year Built 1954 Taxable Value 1 $175,808 $171,154 $169,614 Assessment Information School Board Exemption Value $25,500 $25,500 $25,500 Year 2017 2016 2015 Land Value $345,138 $287,615 $276,299 Taxable Value $200,808 $196,154 $194,614 Building Value $244,922 $244,922 $244,922 City XF Value $12,146 $12,211 $9,254 Exemption Value $50,500 $50,500 $50,500 Taxable Value $175,808 $171,154 $169,614 Market Value $602,206 $544,748 $530,475 Regional Assessed Value $226,308 $221,654 $220,114 Exemption Value $50,500 $50,500 $50,500 Benefits Information Taxable Value $175,808 $171.1541 $169,614 Benefit Type 2017 2016 2015 Sales Information Save Our Homes Assessment Cap Reduction $375,898 $323,094 $310,361 Previous Price OR Book- Qualification Description Sale Page Homestead Exemption $25,000 $25,000 $25,000 Trustees in bankruptcy,executors or Second Exemption $25,000 $25,000 $25,000 01/21/2009 $100 26742-3555 guardians Homestead Widow Exemption $500 $500 $500 Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City, Regional). Short Legal Description r MIAMI SHORES SEC 1 AMD PB 10-70 LOT 18&19 BLK 41 LOT SIZE 100.000 X 115 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser http://www.miamidade.gov/propertysearch/ 12/7/2017 John Busta Roofing, Inc. 300 NE 91 Street Miami Shores, FL 33138 phone: 305-219-9699 email: jrbusta3002aol.com yMd..M-?,.:; „y,.,...;,,.ya...kr F.Ge:: .,r.r.x?. .ter.....-,.,: .w-.+i...».•ti*M ,.v..yY::+ri>ro.M.fv..+ W:erw+s.vmF 3 ,mrvv:.±E rrlmnG^mn.ro'.retm•."lro rthr.xw-<nn+'+;'*k.^.�"4*4L t q T November 17'`. 2017 State of Florida County of Miami Dade Before me this day appeared John Robert Busta who being duly sworn, deposes and says that he will be the only person working on the project located at 351 NE 98 Street Sworn to (or affirmed)and subscribed before me this 17th. Day of November 2017, by JA Robert Busta. Personally known Or produced identification Type of Identification produced Sandra A. Busta Print type or stamp Name oftart' : ' SANDRAANNBUSTA A-1:� MY COMMISSION t FF 159120 �' EXPIRES:September 14,2018 SOMW Thro NoWy Punk Undembri . ♦SH0%& Ne M Miami Shores Village Boom � - o%e Building Department �LORTpA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: �L�-- -Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this /7 day of Nr7�� ,20_q By�//.9/J!- r', �'�(�j��,t/ who is personally known to me or has produced as identification. Notary. Ck_ SEAL: , WIM ANN'US TA ,� MY COMMISSION t FF 159120 EXPIRES:September 14,2018 nrr' f r °_ ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida BUilding Code 5th Edition(2014) e 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 1 Section A(General Information) 1 Master Permit No. Process No. � I i Contractor's Name' A �FA09 OC U 7 2017 ; Job Address 35 9 ROOF CATEGORY 1. ❑ Low Sloe �•••�• P ❑ Mechanically Fastened Tile ®Morta7Adqes1ve Set-Tiles ••••{• ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Vincles/Shakes• •• •B 4, . 0 ❑ Prescriptive BUR-RAS 150 ...;•. • • ROOF TYPE 0.00 0000 1• ❑ .New roof0000 0000 0000 Repair ❑ Maintenance ❑ Reroofing Q Reggvpring • • 4,4,4,4,. ROOF SYSTEM INFORMATION 4,0 0*00 •0 Low Slope Roof Area(SF) Steep Sloped Roof AREA(SSF)� Total(SF)• 4,: . • • 0 0 0 4,04,004, 000 Section B(Roof Plan) *0 0 00• 0 0 1 Sketch Roof Plan: Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 rA 1 i - i 1 U a � O � W U O r1l I I W 1�-,0 L)dN1 _ .' .. C-�kpArR644 -•__-4,,_4,_4,4,—,-._�_-(' q FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) a 15.37 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);aecessed by Eliezer Palacio on Jun B,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. b. 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition(2014) High-Velocity Hurricane Zone Uniform Permit Application Form 1 1 Section D(Steep Sloped Roof System) 1 . 1 Roof System Manufacturer: 1 Notice of Acceptance Number: 1 Minimum Design Wind Pressures,If Applicable(From RAS 127 or Calculations): 1 P1: P1: P1: 1 1 1 1 Deck Type: Type Underlayment: • RooSlope: 2261 • 12 .i.... Insulation: 7VA ..••."". 0000 ' •1••• 0.0000 000 . *fee* Fre Barrier: 00-00 •• 0.00•• Ridge Venti_tion? Fastener Type&Spacing: aNadl . .... �T7 • •1 • Adhesive Type: �� 1 1 Type Cap Sheet: - 1 / 1 Mean Roof Height: !S. Roof Covering: ��T�= �� 1 1 Type&Size Drip 1 Edge: � I 1 1 1 a FLORIDA BUILDING COD_E—BUILDING,5th EDITION(2014) 15.39 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Elieur Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. SHORES wM �LORIDP 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• Renailing wood decks:When replacing roofing,the existing wo8d roof deckNlay Rave to '• be renailed in accordance with the current provisions of Section R4403. (The>*BdMtk is uguall, concealed prior to removing the existing roof system). "'•'• • .... .... ..... 4. Exposed Ceiling: Exposed,open beam ceilings are where the u*adgwde of the ro3f&cking•.•... 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 provide:jbg Pption 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 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. d ` 1147-Z/7 Owner s Signature Date Contractor Signature Date 3,51 a g s- Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; i