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RF-18-1817 Permit NO. RF-748-1,817 �sKO1s o,� Miami Shores Village ■ Permit Type:Roof �S• 10050N.E.2nd Avenue NE ', '�� ' Warts Classification. Repair Roof Per Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 RtDp` Issue Date:713120181 FExpiration: 12130/2018 Project Address Parcel Number Applicant 1304 NE 104 Street 1122320300120 Miami Shores, FL 33138- Block: Lot: JOSEPH SCHWARTZ Owner Information Address Phone Cell LINDA SCHWARTZ 1304 NE 104 ST I. MIAMI FL 33138-2662 Contractor(s) Phone Cell Phone Valuation: $ 1,955.00 EARL W JOHNSTON ROOFING, INC 954-989-7794 (954)989-5666 a...v,.._..w_ M..�.„ Total Sq Feet: 150 Type of Work:Repair Available Inspections: Additional Info:REMOVE TILE,FIX/REPAIR DECKING 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-7-18-68129 DBPR Fee $2.00 07/03/2018 Check#: 14121 $ 116.20 $0.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $1.60 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. 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 zoning. Futhermore,I authorize the above-named contractor to do the work stated. Zr- July 03, 2018 A rized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 03, 2018 1 Miami Shores Village FJIJN �`�ED Building Department 3 o18 10050 N.E.2nd Avenue,Miami Shores,Florida 33138Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 C-t- r BUILDING Master Permit No._ ?�rr 19) — $1- PERMIT APPLICATION Sub Permit No. BUILDING ELECTRIC ❑ ❑ ❑ i ❑ ❑ � ROOFING REVISION EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS ' JOB ADDRESS: 30� Ills t-,*A 5-t-ree4- City: Miami Shores County Miami Dade tin i 3 Folio/Parcel#: ZNit030 - p Is the Building Historically Designated:Yes NO ✓ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Toe 5 Ck wcur4 a Phone#: ys 36g Address: 13c'q NE 'IL-,H 64-v e e 4- City: Pe3 State: FL Zip: 33 i3 Tenant/Lessee Name: st ltt, Phone#: •305 - 502 - $7g( Email: T'd�A$�.3 C�,t�t . ca:Kt CONTRACTOR:Company Name: Earl W. Johnston Roofing, Inc. 954-989-7794 Phone#: � Address: 5,721 Dewey Street i Clty: Hollywood FL S Zip; 33023 Qualifier Name: Earl W. Johnston Phone#: 954-989-7794 State Certification or Registration M gCC057073 Certificate of Competency#: DESIGNER:Architect/Engineer:_f-J /P. Phone#: Address: City: State: Zip: Value of Work for this Permit:$_ 14q;S-- Square/Linear Foo age of Work: i J C7 ,41t• Type of Work: ❑ Addition E3 Alteration ❑ New epair/Replace ElDemolition f Description of Work: Rerqmte fell- paDer. -�k 'rte. i'>f�� f specify color of color thru tile: submittal Fee$ Permit Fee$ CCF$ CO/CC$ scanning Fee$ Radon Fee$ DBPR$ Notary$ 'echnology Fee$ Training/Education Fee$ Double Fee$ tructural Reviews$ Bond$ tevised02%24/2014) TOTAL FEE NOW DUE$ S Bonding Company's Name(if applicable) I� Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) �� A Mortgage Lender's Address t 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 I 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 thefirst inspection which qqcurs seven (7) ays after the building permit is issued. In the absence of such posted notice, the Inspection will not be apprond a re/nspe /on fee will be charged. Signature Signature i OWNER or AGENT C NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me+this 6TH day of. "Sy iS� 20 ,by 2 G . day of 20 u by 73� � �Z ,who is personally known to Earl W. Johnston who is personally known to me or who has produced \,>L— 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: € 1 Sign: Sign: �,e�ALT�� 1 O� Print: S Print: Seal: I WALTER ESTEB/WTORRES Seal: ►.',; WALTERESTEf3/WTOMES :* ? MY oOMMissiON S GG 181548 MY COMMISSION II GG 181548 EdiRES:January 31,2071 ;rpm= EXPIRES:jam"31,2022 1 "��osr�°• BolMledThru POW rHNs ?asp°,: Ba-40ihmNotaryPubkUrAer,tlt�s T4T314 APPROVED BY Plans Examiner Zoning Structural Review Clerk Revised02/24/2014) 1 1 ROOF ASSEMBLIES AND R0OFTOP STRUCTURES ' Flodda BWlding Code 6th Edition(2017) High-Velocity Hurricane Zone Uniform Permit Application Form f ; I JUN 3 2 1� i Section A(General Information) Mester.Permlt No. Process No. _ - - ` 1 Contracbors`Name Gail ' -bIn�s-�C�h .- Roa .lob Address �3�`� N l b-t &4r �c,Vv\i S h ere S ROOF CATEGORY «I ❑ Low Slope ❑ MechanicallyFastened The �MortadlAdhesive Set Tiles 1 ❑ AsphaHic Shingles ❑ Metal PaneVSMngles ❑ Wood ShmgleslShakes 1 ❑ Presc iptive.BOR=RAS 150 1 ROOF-TYPE J•••• ❑ New roof Repair ❑ Maintenance ❑ Reroofing ❑ Recove q•�; 1� ••• ••. ROOF,SYSTEMIINFORMATION • • Low'Slope Roof Area(SF)j Steep'Sloped'Roaf AREA(SSF) \t7J 1 otal�(�F�� Section B(Roof Plan) •• •• =• Sketch Roof Plan:Illustrste all levels and sections,roof drains,scuppers,overflow scu pars and overflow drains.lhdddb dimen- J. ., slons of sections and levels,dearly identify dimensions of es andplocatlon of parapets. V•:••040, " ••• • 1 • p IT #: re •� • Mi mi � r i D PT i 1 LE G 11i:B1 LIA CE VVI 1 TT C M 1 INIR LE A D Ft _GI LA ► 1 1 000, - 1 o 1 '1 �iKyyf�C� �t �i�gP1�4c ,O�ce�ia�G RLZe4 , SCTION R4402.13 HIGH VELOCITY HURRICANE ZONES-REQUIRED OWNERS NOTIFICATION N FOR ROOFING R4402.13.1 Scope.As 4 pertains to the section,it is the responsibility of roofingcontractor 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 roots Additionally,the following items should be addressed as part of the agreement between thteme eswneati nt the contra The owner's initial in the designated space indicates that the item has been explained. Aesthetics-Workmanship:the workmanship Provisions of providin that the roof system meets the wind resistance and water instnrction Perrffoormance for the purpose of Aesthetics(appearance)are not a consideration with respect to workmanship provisions.Aesthetic issues s color or architectural appearance,that are not part of a zoning code,should be addressed as pad ••• the ag ment between the owner and the contractor. I Renailing wood decks:When replacing roofing,the existing wood roof deck p�y�ve to be• i • re in accordance with the current provisions of Section R4403.(The roof deck is usual01,0 ncealed •• •• ••• re ving the existing roof system). 000000 'goes• PRDC.. • • Common roofs:Common roofs are those which have no visible delineation •g•••• e • ownhouses,condominiums,etc.)In buildings with common roofs the roofing •neighiiormg•: ...e:• o should notify the occupants of adjacent units of roofing to be performed, g card &and/or - 4. Exposed Ceiling:Exposed,open beam ceilings are where the underside of the roof dec d*0 ' .. .. a ...'.; be vi d from below.The owner may wish to maintain the architectural a • penetration of the underside of the deckingmay not be acceptable.This ppearance;therefore,roofing nail ap y Pth provides the option of maintaining the s• Ponding water:The current roof system and/or deck of the building may not drain well and may se ter to pond(accumulate)in low-lying areas of the roof.Pounding can be an Indication of structural distress and may require the review of a professional structural engineer.Pounding may shorten the life expecte and performance of the new roofing system. Pounding conditions may not be evident until the origi fing system is removed.Pounding conditions should be corrected. Overflow scuppers(wall outlets):it is required that rainwater flows off so that the roof is not 0 oaded from a buildup of water.Perimeter/edge wall or other roof extension may block this discharge if overfl cuppers(wall outlets)are not provided.It may be necessary to install overflow scuppers in a the requirements of Sections R4402, R4403 and R4413. i 7• Ventilation:Most roof shctures should have some ability to vent natural airflow through the interio structure assembly(the building itself).The existing amount of attic ventilation shall not be reduced.It may be beneficial to consider additional venting which can result in exte Ing the service life of the 4fte* t 1 Date Contractor Signature Date � Revised on 7/9/2009 LD i i i �1 Miami Shores V Building Department 10050 N.E.2nd Avenue JAR Miami Shores, Florida 33138 Tei: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: G z2 l8 10050 NE 2^d Ave ��•• Miami Shores,FI 33138 • Re: Owner's Name:— "�C�tti�A�`T-z `•••.• . ' Property Address: i3 oLt. X04 •... • oofing Permit Number: Dear Building Official: '• 1041 •.s;•.. certify that I am not required to retrofit the roof to wall qWr ectioni of my ;•• • building because: •• . •• • XThe just valuation for the structure for purpose of ad valorem taxation is less than$300,000.00. Please attach proof of ad valorem taxation. in The building was constructed in compliance with the provisions of the Florida Building Code (FBC)or with the provisions of 1994 a tion of the S rid aiding Code(1994 SFBC) i i t � s 100 Signature PrinameC State of Florida County of Dade The undersigned,being the first duly swom,deposes and says that he/she Is the owner for the above property mentioned. Sworn to and subscribed before me thisZ I day of 3 N-�E zoto y; ,, WALMR ESTOW4 TOWS :.. ;, W COMMISSION 9 GG 111548 EXPIRES:January 31,2M Nota Public Sate of Florida at Large ''''"`°•` ft"de'mti"�t� Notary � �moi—�.� • When the Just valuation of the elructure for purpose of ad valorem frnratlon Is aqua/to or more than 5300.DO"D'and the bung Was not constructed With FBC nor a 1894 SFBC.Then you must provide a building appAcation from 8 General ContraGor for the Roof fo wall connection Huntcane MAigetion. 6J22/2018 Property Search Application-Miami-Dade County sOFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:6/22/2018 Property Information Folio: 11-2232-030-0120 1304 NE 104 ST Property Address: Miami Shores,FL 33138-2662 Owner JOS S SCHWARTZ&W LINDA Mailing Address 1304 NE 104 ST MIAMI,FL 33138-2662 PA Primary Zone 1100 SGL FAMILY-2301-2500 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths I Half 3/2/1 < i r Floors 1 ,r Living Units 1 .•• Actual Area 2,404 Sq.Ft Living Area 2,309 Sq.Ft •; Adjusted Area 2,173 Sq.Ft . •• Lot Size 10,325 Sq.Ft Taxable Value Information •••••• .••••• ••••• Year Built 1953 2A2 •• Z017• ••�C County •. •• •. •••••. Assessment Information Exemption Value $5D,00b ; $50,00 $50s60 Year *2018 2017 2016 Taxable Value $1 ,31 $�'/1'1.27'S ht-ni Land Value $361,350 $361,350 $361,350 School Board • •• • :0640: r Building Value $128,282 $128,321 $128,360 Exemption Value $25,000 $R,060 1 $25,000 XF Value $5,011 $5,064 $5,116 Taxable Value 1 =$171,312 $167,275 $163,321 Market Value $494,643 $494,735 $494,826 City Assessed Value $196,312 $192,275 $188,321 Exemption Value $50,000 $50,000 $50,000 Benefits Information Taxable Value $146,312 $142,275 $138,321 Regional Benefit Type 2018 2017 2016 Exemption Value 1 $50,000 $50,000 $50,000 Save Our Homes Assessment Cap Reduction $298,331 $302,460 $306,505 Taxable Value 1 $146,312 $142,275 $138,321 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead tExemption 1 $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City,Regional). Short Legal.Description RIVER BAY PARK PB 41-55 LOT+7 BLK 2 LOT SIZE 87.500 X 118 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 and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp t Version: , t , i f EARJ001 CERTIFICATE OF LIABILITY INSURANCE DA06/29/2018 ) 06/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE,DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED j REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 321-725-7000 CQNTACT Phillip Lane J.W.Edens&CompanyNHME: Commercial Ins of Breard,Inc (Aic°O,"o,Ext),321-725-7000 FAX No;321-725-7856 325 Fifth Avenue,Suite 108 E-NI RIE Indialantic,FL 32903 AU Phillip Lane INSURERS AFFORDING COVERAGE NAIC q INSURER A:United Specialty Ins.Co. 12537 INSURED Earl W.Johnston Roofing,LLC Earl W.Johnston Roofing,Inc. INSURER B 5721 Dewey Street INSURER C: Hollywood,FL 33023-1917 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP MMIDDP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,0009000 CLAIMS-MADE X OCCUR ATN-ATL1831373 07/01/2018 07/01/2019 DREMGET ERENTEDn 50,000 MED EXP(Any oneperson) Excluded PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY 1 PRO--HI LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT n $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONLY Pe�acc'ZI AMAGE $ Y UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LI AB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YINSTA TLITE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT WFICERIMEMBER EXCLUDED? N/A We in NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Earl W Johnston License#CCC057073 Blanket Additional Insured applies regarding General Liability with respect to operations performed by named insured as required by contract. CERTIFICATE HOLDER CANCELLATION MIAMISV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. Building Departmenet 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores Village, FL 33138 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. I The ACORD name and logo are registered marks of ACORD