RC-19-2086Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
570 NW 112TH ST, Miami Shores, FL 33168 1121360210620
Contacts
DAVID SMITHERMAN Owner TITAN SOLAR POWER FL INC Contractor
570 112 ST, MIAMI SHORES, FL 33168 KENNETH WILLIAMS
12221 N US HWY 301, THONOTOSASSA, FL 33592
Business: 3057760650 ijeune@titansolarpower.com
Descri lion: ROOFTOP SOLAR Inspection Re uests:
E p Valuation: $ 5,200.00
E
TotalSq Feet: 0.00
Fees Amount Payments Date Paid Amt Paid
Total Fees
Total:
Amount Due:
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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regp4ting construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Aut oried Sig ry'a re', Owner i Applicant / Contractor / Agent Date
September 26, 2019 Page 2 of 2
INSPECTION RECORD
STRUCTURAL
INSPECTION
DATE
INSP
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA compliance
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWSDOORS
INSPECTION DATE INSP
Attachment
WORKSPUBLIC
INSPECTION DATE INSP
Excavation
ELECTRICAL
INSPECTION DATE INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
Ceiling Rough
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
ELECTRICAL COMMENTS
INSPECTION DATE INSP
Final Sprinkler
Final Alarm
PLUMBING
INSPECTION
DATE
INSP
Rough
Water Service
2nd Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook-up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
PLUMBING COMMENTS
MECHANICAL
INSPECTION DATE INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS
BUILDING
PERMIT APPLICATION
QBUILDI 0 ELECTRIC
❑PLUMBING ECHANICAL
Miami Shores Village
RECF6VED
Building Department SEP062019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 kin
FBC 2pQ01Y
Master Permit No. F-1L' 06 " I q - 16 S p'
Sub Permit No. RG _159- 161- 9060
ROOFING REVISION EXTENSION RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 570 NW 112th St, Miami, FL 33168,
City: Miami Shores County:
Miami Dade Zip:
Folio/Parcel#: 11 -2136-021 -0620 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): David Smitherman
Phone#: 305-970-5376
Address: 570 NW 112 ST
City: Miami State: FL
Zip: 33168
Tenant/Lessee Name:
Phone#:
Email: dsmlth3rm4n@gmail.com
CONTRACTOR: Company Name: Titan Solar Power FL Inc
Phone#: 813-982-9001
Address: 525 W Baseline Rd
City: Mesa State: AZ
85210
Qualifier Name: Kenneth Williams
Phone#: 813-982-9001
State Certification or Registration #: EC13008093
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ 26,060 5,.20o Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑■ Alteration ❑ New
❑ Repair/Replace ❑ Demolition
Description of Work: Rooftop Solar
Specify color of color thru tile:
i
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ _ — Radon Fee $ L • 03 DBPR $ 2- -3U 1 Notary $
Technology Fee $ Training/Education Fee $ -- Double Fee $
-cU� rtuxa�l Reviews $
Txt—
(Revi sed02/24/2014 )
Bond $
TOTAL FEE NOW DUE $
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.....
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 on 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 a.n 1��.—
g � `�) l� Signa
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 l`"► by day of 20 by
- —T
f� � Sr►:k�nafc�,n who is personally known to tP,Y I f I elffI VV IIIIU(Ib who is personally known to
me or who has produced 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:
Sign: Sign: Print: oil onny jeune. Print: -Errl Ca hp rd
=7—
SION # 60Pis
Seal: _ ';.: rXPIRES: Jum 27,ota.:.' se
a TO AM i� R MericopB ic linty Arizona
Erica Nicole Ford
!� Cemmiawn Number S mm"mg
APPROVED BY <��y/ 9 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)