REV-18-921 t
Miami Shores Village
RECMEp
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 APR 10 7.018
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FB 01`�
BUILDING Master Permit No.RF -12-17-2971
PERMIT APPLICATION Sub Permit No. RRy 18—gy-1
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 922 ne 91 terr
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 a CXxOesr Ziny-l.5A74 0^-4- Phone#:
Address: 'LS-4l Scnrrier(zR4:
City: L0 06--j" Gnkga State: 4aft Rbrn&'_ zip:3 3 3 J 1
Tenant/Lessee Name: Phone#: �-
Email:
CONTRACTOR:Comppany Name: Cooper Stone Phone#: SCJ 41z-4 30(oAddress: ���/
City: State: Florida zip: 33 `)19"-
} Alfonso LopezQualifier Name:
Phone#:
State Certification or Registration#: LCL 13 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: S D p
Type of Work: ❑ Addition Alteration ��w Q Repair/Replace ❑ Demolition
Description of Work: Re roof —t—,l,:�_ C"',w4 S k,1(�A - a W& M'>j lapS"Je_ p
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$
(Rev1sed02/24/2014)
I
a
A
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 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 a reinspection fee will be charged.
,_._
Signature Signature-:
OWNER or AGENT CONTRA
The foregoing instrumegi was qckpowledged before me this The foregoing instru ent was acknowledged efore me this
day of 20-L--"— by day of tr t, 20 ! by
p�Qj Qy t:Q Zflly.� ,who
`,is�npersonally known to kr-� who is ersonally know to
me or who has produced U' U� ►`� as me or who has produced as
iidentification and who did take an oath. identification and who did take an oath.
NOTARY Till
L NOTARY PUBLIC:
Sign: Sign:
Print: '.''•, ELIZA ALVAREZ Print: X4
� M COMMISSION#FF974952 .• •.
` �px• EXPIRES April 05,2020 Seal: _*. :,; MY
Seal COMMISSICOMMISSION8 GG 189200
, eP`: EXPIRES:December 18,2021
(407 ; 2153 Flo6dallotarycom ``
Service.
..,.._.._..-^--- """'%A,p�►„° Bonded Thru NofarY RA6c UnderNRRerA
APPROVED BY `
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
RECEIVED
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
APR 10 201
Florida Building Code 6th Edition (2017)
High-Welocity Hurricane Zone Uniform Permit Application Form.
Section A(General Information)
Mks PdF�ii t-No.RF-12-17-2971 Process N
on actors Jame
ALFONSO LOPEZ
.�'
I
Q ?'
ric es 1 2 NE 91 TER MIAMI SHORES
C)
Q ROOF CATEGORY
LL
Q ItLow Slope ❑ Mechanically Fastened Tile ✓❑ Mortar Adhesive Set Tile
~ E§phaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes
LU ingles
m Q C1 Prescriptive BUR-RAS 150
a ROOF TYPE
� z
❑ a~ p
w u
t] Ne�r Rpb ✓❑Reroofing [:1 Recovering El Repair ❑ Maintenance
p ❑ z ROOF SYSTEM
GC Z 0 w w INFORMATION
a Z ❑CL <
Q �L' w Si pe koof Area(SF) Steep Sloped Roof Area(SF) 900 Total(SF) 999
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.
• • W •
01
ilk
TO
• • •
•
- r . , •
•
• .,....
t
1��
3� C)
15.32 50 0 s- p FLORIDA BUILDING CODE 6th Edition (2017) BUILDING