RF-20-42Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
ircUcL tic
Issue Date: 01/14/2020
Location Address Parcel Number
5 NE 96TH ST, Miami Shores, FL 33138 1132060130820
Contacts
Permit NO.: RF-01-20-42
Permit Type: Roof
Work Classification: Repair Roof
Permit Status: Approved
Expiration: 07/ 13 /2020
Evelyn Campos Owner OMEGA ROOFING INC Contractor
5 NE 96 ST ARDIEL BARRIOS
9190 NW 119 ST 3, MIAMI, FL 33018
Business:3058261144 omega roofing@aol.com
Description: LEAK REPAIR (TILE) Valuation: $ 2,000.00 Inspection Requests:
305-62-4949
TotalSq Feet: 40.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$1.50
DCA Fee
$1.00
Education Surcharge
$0.40
Roofing Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$115.60
Payments
Date Paid Amt Paid
Total Fees
$115.60
Check # 5735
01/14/2020 $115.60
Amount Due:
$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
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify t all the foregoing information is a rate an t all work will be done in compliance with all applicable laws
regulating construction and zo ' Futhermore, I aut�e the above named rac to do the work stated.
Authorized Signature: Owner / Applicant / Contractor Y Agent Date
January 14, 2020 Page 2 of 2
Miami Shores Village
Building Department JA o zo2o
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY; Cif
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC EeROOFING
FBC 20 �(
Master Permit No. ► — a-zo— -! Z
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL []PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �JE— 9 � 4�
City: Miami Shores County: / Miami Dade Zip: 3 3 / —> P
Folio/Parcel#: /I- iZfl6- 0/3- &71 Q Is the Building Historically Designated: Yes NO f
Occupancy Type: Load: &�.
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Si le Titleholder): ` Phone#: � 0-5 Z 6 4 5-
Address: % S
City:
Tenant/Lessee Name:
Email:
State:
hone#:
__> _17' / _� I.?
CONTRACTOR: Company me: ZPhone#: —'trcPr'P 76
Address:
City: a State: Zip: �l
Qualifier Name: A,- &.r✓'5 Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ^Z O 00. 0 i7 Square/Linear Footage of Work: ytD
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ NPermit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $ i
TOTAL FEE NOW DUE $ 1
(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
Zi
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.
Signatur _ �� !i Y f/ 3ig ure '
OWNER or AGENT CONTRACTOR
The foregoing instru t was acl
7�
owledged before me this The foregoing instru ent waZanowledged before me this
"Y day of ,.
(by � day of-eep.�
r by
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who is per nown to J?.•,-v-.i� ho is personal) own to
me or who has produced
ffi"�►►►►uiiiu�����'65 me or who has produced
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as
identification and who did take an
J� 1,
�.lw identificatio d who did take an oath.
oath. �� .��7,(M20o
NOTA
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APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
1 �
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
1 Florida d e h Edition (2014)�A0
+� B
High -Velocity Hurricane Zone Uniform Permit Application Firm. Lu
< C
`- Section A (General Information) o <
Master Permit No. Process No.
Contractor s Name.
<
Job Address U �
ROOF CATEGORY J
zI
❑ Low SlopeI —
❑ Mechanically Fastened Tile ❑ Mortar/Ad liesive-S t l fes F- C @I ❑ Asphaltic Shingles ❑ Meta! Panel/Shin les ❑ I " ' 'L
9 Wood Shingles/S� �ke� n
❑ Prescriptive BUR-RAS 150
-r A
ROOF TYPE c "8
d ~
❑ New roof /Repair ❑ Maintenance ❑ Reroofing LO Reco
ROOF SYSTEM INFORMATION t1
Low Slope Roof Area (SF)-4 Steep Sloped Roof AREA (SSF) ` 0 Total (SF) Lf v �
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and.overliow drain? lttdlude dimen-
sions of sections and levels, clearly identify dimensions of elevated pressure zones and location Cf geadets. o e •
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FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014)
15.37
t t ' J Illqlllllg
�'j[] Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer patacio on Jun 8, 2015 10:32:12 AM pursuant to License
1 l� 1 � Agreement. No further reproductions
ns authorized.
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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
1,2,4,5,6,7
Concrete or Clay Tile
A,B,D,E
1,2,3,4,5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and Shakes
A,B,D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
ATTACHMENTS REQUIRED-
1.
Fire Directory Listing Page
: • .
•• •
2.
From Product Approval:
. • •. • •
Front Page
•
0.00000
Specific System Description
• • • •
Specific System Limitations
•
• 6900
General Limitations
• • • o • •
Applicable Detail Drawings
• * 9 •
••.•.•
3.
Design Calculations per Chapter 16, or if applicable, RAS 127 or RA3128 •
4.
Other Component of Product Approval
: • •.
•
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Reroofing Only)
7.
Any Required Roof Testing/Calculation Documentation
..•.
...••.
•
• .
•
.
•..•••
..••••
•...
•
• • .
•
•
•
. . •
••••
• •
.
•.•
15.36 FLORIDA BUILDING CODE — BUILDING, Sth EDITION (2014)
Copyright to, or licensed by, [CC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8. 2015 10:32:12 AM pursuant to License
Agreement. No further reproductions authorized.