RF-18-3394Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
te:11;/08/2018
Permit NO.: RF-11-1&3394
Permit Type: Roof
Work Classification: Metal
Permit Status: Approved
Expiration: 05/07/2019
Parcel Number
9377 NE 9TH PL, Miami Shores, FL 33138
1132050070100
Contacts
RICHARD LIBUTTI
9377
Owner
T&S ROOFING SYSTEMS INC.
LOUIS TOLEDO
1455 NW 23 ST, MIAMI, FL 33142
Business: 3052652654
Other: 3057727954
Contractor
Description: RE -ROOF METAL
Fees
Amount
Roofing Fee
Total:
$150.00
$150.00
Valuation: $ 17,500.00
Total Sq Feet: 2,500.00
N
Inspection Requests:
305-762-4949
Payments
Total Fees
Credit Card
Amount Due:
Date Paid
11/08/2018
Amt Paid
$150.00
$150.00
$0.00
Building Department Copy
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
pefrtfli9are required fo ELECTR , PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVI
regulatinc constructio
I c rtify that all the oregoing infor ation is accurate and that all work will be done in compliance with all applicable laws
nd oning. F ther . re, I authorize the named cntraq o to do the work stated.
Authorized Sig ature: 0 ner
an\c
pp cant / Contractor / Agent
Date
November 08, 2018
Page 2 of 2
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
Miami 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
RECEIVED
NOV 082018
FBC201�-
Master Permit No. Z•P rsr gsq u
Sub Permit No.
❑ ROOFING ❑ REVISION
❑ EXTENSIONiENEWAL
ElPLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City:
Folio/Parcel#:
9331- lot 1?l-.
Miami Shores County: Miami Dade Zip:
1 \- 3Z6 S- 001- 6106
Is the Building Historically Designated: Yes NO
Occupancy Type: • Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address:
clmr0{ Luft.,
(7p--'m N w ! PL
�r
City: 1.O'Y
��� Y` S State: l• ( ,
Tenant/Lessee Name:. Phone#:
Phone#:
Email:
Zip: I 3j____
1 L r
CONTRACTOR: Company Name: I G 5 -/ �c-p .k1 �'
Address: \� 6 I pi (n) 2 3- --' J
City: k C(j(� I 1 State: Te— Zip: --3-1 k 2_
Qualifier N#me: \ U (' Phone#:
State Certification or Registration #: ` C'C \ JZ6& 5 Z. Certificate of Competency #:
DESIGNER: Architect/Engineer: w Phone#:
o
Address: City: State: Zip:
Value of Workefor this Permit: $ Square/Linear Footage of Work:
Type oMork: ❑ Addition El Alteration ❑ New ❑ Repair/ReplaceplID Demolition
Description of Work: TO 1\( lam- 1B - 9 C7. 6
Phone#: 36,V- it 26T r Z i°.c(i
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 $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
. 4y
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 prop rty is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first " spection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wi not be approved and a reins'pection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument wasicknowledged before me this
V , 20 _4_, by
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTAIZ?1 `PUBLIC:
Sign-
Prin
Seal:
**********
APPROVED BY
DANI EREZ
Notary Public- tate cf Florida
Commission GG 44769
My Comm. Expir-s Nov 3.2020
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of N ° V , 20 ) , by
�C.JI S�'U, who is ersonally kn wn o
I
me or who has produced
identification and who did take an oath.
NOTARY BLIC:
IL
Sign: A
Print:
Seal:
Plans Examiner
Notary Publ. tate of Florida
Commiss : . GG 44769
My Comm. Expires Nov 3, 2020
as
Zoning
(Revised02/24/2014)
Structural Review
Clerk