RF-15-3018Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. RF-12-15-3018
Permit Type: Roof
Work(assiffcation: TitelFlat
Permit Status: APPROVED
Issue Date:12/7/2015
Expiration: 06/04/2016
Parcel Number
Applicant
269 NE 100 Street
Miami Shores, FL 33138-
1132060134690
Block: Lot:
CHRISTINE WELSTEAD
Owner Information
Address
Phone
Cell
CHRISTINE WELSTEAD
269 NE 100 Street
MIAMI SHORES FL 33138-
(305)332-6739
Contractor(s)
A&J ROOFING CORP
Phone Cell Phone
(305)599-2782 (305)804-1342
Valuation:
Total Sq Feet:
$ 900.00
150
Type of Work: Repair
Additional Info: REPAIR APPROX. 25 FIELD TILE, ALSO
Classification: Residential
Scanning: 5
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - New Roof
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$0.60
$3.75
$3.75
$0.20
$250.00
$15.00
$0.80
$774.10
Pay Date Pay Type
Invoice # RF-12-15-57934
12/07/2015 Credit Card
12/03/2015 Credit Card
Bond #: 2920
1 II
Amt Paid Amt Due
$ 724.10 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Up Lift Report
Tin Cap
Final Roof
Tile In Progress
Review Roof
Roof in Progress
Renailing Affidavit
Cap Sheet
Review Building
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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F / rmor.e, I authorize the above -named contractor to do the work stated.
December 07,. 2015
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 07, 2015
1