RF-19-2433Permit NO.: RF -10-18-2433
Miami Shores Village- , L Permit Type: Roof
10050 NE 2 Avep(�'
Miami Shores FL 33138 I � 1NorkClasstficaiort: Repair Roof
305-795-2204 Permit Status: Approved
Issuer} Date: 10/23/2019 -,]Expiration: 04/20/2020
Location Address Parcel Number
325 NW 111TH TER, Miami Shores, FL 33168 1121360010400
Contacts
GERARD & ELZA DERISMA Owner COLONIAL ROOF SERVICE Contractor
325 NW 111 TER, MIAMI SHORES, FL 331683341 JAMES NAHMOD
329 SW 13 ST, DANIA BEACH, FL 33004
Business: 9545878639
Inspection Requests:
Description: REPAIR DETERIATED AREAS ON ROOF Valuation: $ 2,450.00 305-762-4949
ACCOMPANIED WITH PICTURES ONLY REPLACING SOME
ROTTED WOOD ON EDGES OF AREAS SHOWN IN PICTURES. Total Scl Feet: 8.00
NOT REPACING TILES
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$0.60
Roofing Fee
$200.00
Scanning Fee
$9.00
Technology Fee
$6.25
Total:
$273.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$273.90
Check # 1643
10/23/2019 $223.90
Check # 1599
10/15/2019 $50.00
Amount Due:
$0.00
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
reg4lating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent Date
October 23, 2019 Page 2 of 2
Miami Shores Village
CONTRACTOR: Company Name: Colonial Roofer Services
Address: 329 SW 13th Street
754-423-1745
City: Dania Beach State: Fla Zip: 33004
Qualifier Name: James Nahmod Phone#: 754-423-1745
State Certification or Registration #: CCC 1327364 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: StateZip:
:
Value of Work for this Permit: $2,450.00 Square/Linear Footage of Work: C! =-2a, 446od geQnj V—
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: Repair deteriated areas on roof
SIS\, % . `;
Specify color of color thru tile: N v
Submittal Fee $ 'C'r) ?0A Permit Fee $ CCF $ • g� CO/CC $ _
Scanning Fee $ - / • w Radon Fee $ 'D•'• 50 DB/IPP�R $ 335 Notary $ ,��•
Technology Fee $ Training/Education Fee $ V • Double Fee $ Y/
Structural Reviews $ Bond $ co. oo
TOTAL FEE NOW DUE $ d-d�• 3 . l D
(Revised02/24/2014)
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 OCT 15 2019
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FppBC 210 ►% �
BUILDING
Master Permit No. -R T ' 10-19 - 1433
PERMIT APPLICATION
sub Permit No.
❑BUILDING ❑ ELECTRIC
Q ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL
[:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 325 NW 111 th Terrace
City: Miami Shores
County: Miami Dade Zia:
Folio/Parcel#:11-2136-001-0400
Is the Building Historically Designated: Yes NO X
Occupancy Type: Res Load:
Construction Type: Repair Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Gerard Derisma & W Elza T Phone#:305-757-1899
Address: 325 NW 111 Terr
City: Miami Shores
State: Fla Zip: 33168-3341
Tenant/Lessee Name:
Phone#:
Email:
J'nom C 6\01aA 0d�S'C-c �� ce . Cow-.
CONTRACTOR: Company Name: Colonial Roofer Services
Address: 329 SW 13th Street
754-423-1745
City: Dania Beach State: Fla Zip: 33004
Qualifier Name: James Nahmod Phone#: 754-423-1745
State Certification or Registration #: CCC 1327364 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: StateZip:
:
Value of Work for this Permit: $2,450.00 Square/Linear Footage of Work: C! =-2a, 446od geQnj V—
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: Repair deteriated areas on roof
SIS\, % . `;
Specify color of color thru tile: N v
Submittal Fee $ 'C'r) ?0A Permit Fee $ CCF $ • g� CO/CC $ _
Scanning Fee $ - / • w Radon Fee $ 'D•'• 50 DB/IPP�R $ 335 Notary $ ,��•
Technology Fee $ Training/Education Fee $ V • Double Fee $ Y/
Structural Reviews $ Bond $ co. oo
TOTAL FEE NOW DUE $ d-d�• 3 . l D
(Revised02/24/2014)
Bonding Company's Name (if applicable) _
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) _
Mortgage Lender's Address
City
State
Zip
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.....
I
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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
9 day of OC406,(` , 20 1
pl by
Gr�c�PAis , who is personally known to
me or who has produced Dl'iver-�' kcer+st: as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Le, -- �U
Print• "is a(L5
Signature
CONT OR
The foregoing instrument was acknowledged before me this
day of O , 20 (c by
j� Qac y q who is personall____v known to
me or who has produced &B a(� as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: /'-0 �- Aw=—=
Print: lots Aecs
Seal: Seal:
40 Notary Public State of Florida �N Notary Public State of Florida
Lois M Myers Lois M Myers
My Commission GG 150341 My commission GG 150341
Expires 1011 1/2 21 or Expires 10/11/2021
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Proposal -contract
Roof Repairs
Colonial Roofer Services
329 SW 13th St. Dania Beach, 33004
Email: Jim@colonialroofservice.com Phone:
Proposal Submitted To:
Name: Elza & Gerard Derisma
Address: 325 NW 1111h Terr Com: Miami Shores
Zip: 33168
Phone: 305-757-1899
Email:
We propose to furnish labor and material for the following work:
Repair areas needed as specified.
Repairs include removal and replacement of roofing
materials if necessary, up to AS NEEDED Sq. Feet. Any new
materials may not match the existing color due to fading
etc. Also some roof materials may no longer be available.
Description of repair work to be done..........
Scope of work:
Repair deteriorated areas
accompanied with pictures
Bill To: SAME
Contact Phone:
Billing Address:
Billina Email:
Date: 10/9/2019
Estimator: Gale Phone: 754-234-4014
Cost as specified: Two thousand four hundred fifty dollars
Permit cost is extra
COST: $2,450.00
Acceptance of proposal: The above and all attached specifications and conditions are satisfactory and are hereby accepted.
Cost includes labor, taxes, dumpster and
^^ disposal fees.
Owners Signature: I ';'d �Vw�lpc Date of Acceptance: X
Contractor: x Date: loil
& (a
90 day warranty on workmanship in the area repaired. No warranty exists on other areas of the roof that were not repaired. Warranty DO NOT
Include ponding water, Catastrophic weather, animals, persons, fire or intentional destruction.
This proposal becomes a contract when accepted by the owner and signed by a corporate officer of Colonial Roofer Services, Inc. This is the entire
contract which supersedes any prior negotiations or contracts and cannot be altered except in writing and agreed to by the contractor and owner.
This contract can not be altered or modified verbally.
COLONIAL IS NOT RESPONSIBLE FOR ANY BUILDING/ROOF/HOME/MOLD DAMAGE THAT ACCURED PRIOR TO THE SIGNING OF THIS CONTRACT.
••••�
`..•• i �-
— 'illSher I�l'a .
APPROVED . . ....
. . .
8Y
.....
- DATF•
0
70NIING DEP'f 0•
.
BLDG DEPT
••••
SJBJECT i0 CC;titFt.lf'N •••••
CE Wl(�1ALI.
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STATE ANL,
••.. •
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� • • • �
SIS ..
Cost as specified: Two thousand four hundred fifty dollars
Permit cost is extra
COST: $2,450.00
Acceptance of proposal: The above and all attached specifications and conditions are satisfactory and are hereby accepted.
Cost includes labor, taxes, dumpster and
^^ disposal fees.
Owners Signature: I ';'d �Vw�lpc Date of Acceptance: X
Contractor: x Date: loil
& (a
90 day warranty on workmanship in the area repaired. No warranty exists on other areas of the roof that were not repaired. Warranty DO NOT
Include ponding water, Catastrophic weather, animals, persons, fire or intentional destruction.
This proposal becomes a contract when accepted by the owner and signed by a corporate officer of Colonial Roofer Services, Inc. This is the entire
contract which supersedes any prior negotiations or contracts and cannot be altered except in writing and agreed to by the contractor and owner.
This contract can not be altered or modified verbally.
COLONIAL IS NOT RESPONSIBLE FOR ANY BUILDING/ROOF/HOME/MOLD DAMAGE THAT ACCURED PRIOR TO THE SIGNING OF THIS CONTRACT.
p�ORIDp
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 wood roof deck may have to
be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually
concealed prior to removing the existing roof system).
.000.0 000000
4. Exposed Ceiling: Exposed, open beam ceilings are where the unde;sqe of th2 roof decking •
can be viewed from below. The owner may wish to maintain the architectural appearance; tbMelore, •;
roofing nail penetration of the underside of the decking may not be acceptable. "WilrovidesItAi option of
maintaining the appearance. • • • • • • 000000
.
• 0000..
_ 0000 0000.
. .
0.000. . ... 0000 .
6• Overflow scuppers (wall outlets): It is required that rainwater flov4 oft:so that!* rod is
not overloaded from a buildup of water. Perimeter/edge wall or other roof extencion;mpy block this • •
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install &eA& • •
scuppers in accordance with the requirements of Sections R4402, R4403 and 84413:. • • • •'
! 0000
0w erer/� Signature Date Contractor Si Date
3u" NW P/ Inja ; Sys
Property Address 3 3) 109
Revised on 7/9/2009 LD;07/01/2015;
Permit Number
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNERS'S AFFIDAVIT OF EXEMPTION
ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -
BUILT SINGLE FAMILYRESIDENTIAL STRUCTURES
PERSUANT TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department Date: 1(7
10050 NE 2nd Ave Ah
Miami Shores, FI 33138
Re: Owner's Name: Gerard Derism2 & W Elza T ,
9006%
Property Address: 325 NW 111 th Terrace Miami Shores, FI. 3316Q "
Roofing Permit Number:
9999.. •9999• 9999:.
999:9. •
Dear Building Official:
� •9999• • ..;.•�
I 1z�Acertify that I am not required to retrofit the roaW-wpll corMctops of rAl
building because: •' " '
so
:09:0:
® The just valuation for the structure for purpose of ad valorem taxation is less than $300,00.00.Aease lt1dif proof' f*a�;
valorem taxation.- • • :.". '
9999
o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions
of 1994 edition of the South Florida Building Code (1994 SFBC)
Signature
State of Florida
County of Dade
Print Name
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 this day of Ori�dba— e?w
Notary Public, Sate of Florida at Large
When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than
SF8C. Then you must provide a building application from a General Contractor for the Roof to Wall
Revised on 5/2112009
N,Ioy Public Stow of Florida
Leis M Myers
AAy Conxni'mon GG 150341
flY 2 1a1112021
Mitigation.
nor 1994
10/9/2019
Propgrty."arch Application rMiemi-Dade County
Address Owner Name Folio
SEARCH:
325 NW 111 Terr Suite Q
Back to Search Results
PROPERTY INFORMATION
Folio: 11-2136-001-0400
Sub -Division:
NEW MIAMI SHORES ESTS
https://www8.miamidade.gov/Apps/PA/propertysearch/#/ 1/12
10/9/2019
Property Address
325 NW 111 TER
Owner
GERARD DERISMA &W ELZA T
Mailing Address
325 NW 111 TERR
MIAMI, FL 33168-3341
PA Primary Zone
0700 SGL FAMILY - 1551-1700 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT
Beds / Baths / Half
Floors
Living Units
Actual Area
Living Area
Adjusted Area
Lot Size
Year Built
Property Search Application - Miami -Dade County
.. .• . . . •. .. .
. • . • . • . . . .
•
V.
V
.. . . .. .. . .
. . . . . .. . . . .
. . ••• ..
• • • . . • . • .. ..
... . • • . . • .
•
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.. . . . . ... ..
2/2/0
1
1
2,182 Sq.Ft
7,500 Sq.Ft
Multiple (See Building Info.)
https://wwwB.miamidade.gov/Apps/PA/propertysearch/#/
2/12
10/9/2019
Property Search Application - Miami -Dade County
. . ... . . . ...
.. .. . . . .. .. .
. . . . . . . . . .
https://www8.miamidade.gov/Apps/PA/propertysearch/#/ 3/12
10/9/2019
FULL LEGAL DESCRIPTION
NEW MIAMI SHORES ESTS PB 51-80
LOT 24 BLK 2
LOT SIZE 75.000 X 100
OR 13773-3389 0888 1
Property Search Application - Miami -Dade County
SALES INFORMATION
Previous Sale Price OR Book -Page
08/01/1988 $75,000 13773-3389
For more information about the Department of Revenue's Sales Qualification Codes.
2019 2018 2017
LAND INFORMATION
Land Use Muni Zone
GENERAL R-12.5, R-13
BUILDING INFORMATION
Building Number Sub Area
PA Zone
0700 - SGL FAMILY - 1551-1700 SQ
Year Built Actual Sq.Ft.
Qualification Description
Sales which are qualified
Unit Type Units Calc Value
Front Ft. 75.00 $169,335
Living Sq.Ft. Adj Sq.Ft. Calc Value
https://www8.miamidade.gov/Apps/PA/propertysearch/#/ 6/12
••
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• ••
•• •
...........
...
.
...
.
... ..
.
...
. .
. .
.. .
SALES INFORMATION
Previous Sale Price OR Book -Page
08/01/1988 $75,000 13773-3389
For more information about the Department of Revenue's Sales Qualification Codes.
2019 2018 2017
LAND INFORMATION
Land Use Muni Zone
GENERAL R-12.5, R-13
BUILDING INFORMATION
Building Number Sub Area
PA Zone
0700 - SGL FAMILY - 1551-1700 SQ
Year Built Actual Sq.Ft.
Qualification Description
Sales which are qualified
Unit Type Units Calc Value
Front Ft. 75.00 $169,335
Living Sq.Ft. Adj Sq.Ft. Calc Value
https://www8.miamidade.gov/Apps/PA/propertysearch/#/ 6/12
10/9/2019
1 1 1952
1 2 1976
1 3 1996
EXTRA FEATURES
Description
Patio - Concrete Slab
Aluminum Modular Fence
Chain-link Fence 4-5 ft high
ADDITIONAL INFORMATION
Property Search Application - Miami -Dade County
•
••
•
••
••• • • • •••
• • • •• •• •
• •
•
• • • • • • •
1,675
$116,580
•
. .
.
"•
. . .. . . . .
229
$17,001
•
278
$25,153
w•
.
. . .. ••• ..
..
..
. .......
Year Built
Units
Calc Value
1996
220
$686
1996
12
$326
1976
110
$660
' The information listed below is not derived from the Property Appraiser's Office records. It is provided for convenience and is derived from other government
agencies.
https://www8.miamidade.gov/Apps/PA/propertysearch/#/ 7/12
i
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
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ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
SECTION 1525
HIGH -VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION
Florida Building Code 5th Edition (2014)
High -Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT
APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW:
Roof System
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7
Prescriptive BUR -RAS 150
A,B,C
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,,7.
Concrete or Clay Tile
A,B,D,E
Metal Roofs
A,B,D
1,2,3,4,5,Q,T••
Wood Shingles and Shakes
A,B,D
1,2,4,5,6!ri • •
Other
AAp
4,5,6,x•' • • •
ATTACHMENTS REQUIRED:
•
15.36 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014)
I 1 1 I I 1 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License
Agrecmem No further reproductions authorized.
1.
Fire Directory Listing Page • •
2.
From Product Approval:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128
4.
Other Component of Product Approval
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
7. 1
Any Required Roof Testing/Calculation Documentation
•
15.36 FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014)
I 1 1 I I 1 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License
Agrecmem No further reproductions authorized.
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