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RF-06-22-1435Miami ShoresyF_L_33138 JON7t Location Address 934 NE 96TH ST, Miami Shores, FL 33138 Contacts FRANK WILLENBORG Owner 934 Permit No.: RF-06-22-1435 Permit Type: Roof Work Classification: Repair Roof Permit Status: Applied Issue Date: Expiration: 12/04/2022 Parcel Number 1132060143000 UBENUUR ROOFING SHEET METAL & Contractor SUPPLY CO. INC JAMES OBENOUR 9822 NE 2 AVE SUITE 9, MIAMI SHORES, FL 33138 Business: 3057572612 OBENOURROOFING@AOL.COM Description: REPAIR ROOF LEAK WEST SIDE PER ROOF Valuation: $ 1,200.00 Ins ection Requests: DRAWING WITH C/T TILE ROOF 305-762-4949 Total Sq Feet: 50.00 Fees A]$2.50 Application Fee - Other $ CCF DBPR Fee DCA Fee Education Surcharge Roofing Fee $2. Scanning Fee (Manual) $9.00 Technology Fee $6.25 Total: $273.10 Payments Date Paid Amt Paid Total Fees $273.10 Check# 11362 06/07/2022 $50.00 Check #11371 06/21/2022 $223.10 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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhennore, 1 authorize the_pbove named contractor to do the work stated. 6 -ai-. ;2- Authorized Signature: Owner / Applicant / Agent Date June 21, 2022 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ftr'Cr.rVED JUN 0 7 2022 LY: FBC 20 Master Permit No.fT— 0 IY L- rl `3 Sub Permit ❑BUILDING ❑ ELECTRIC g ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: %,?'T N�_ ! G S i City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 300o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): )r-AAAW Phone#: 305- 776 Address: .2093 % Nk- ,3G A ✓E City: '40''ta4i State: FL Zip: 33✓Trd Tenant/Lessee Name: --- r�'iF.3111 e#: CONTRACTOR: Company Name: t2M9A/0d.L XvoFs.uG Phone#:3os=71-7-}(,1Z Address: Y5p(`< MG Aoxf A✓T City: A4ml 4iolte4 State: F l Zip: 3 3/ 3P Qualifier Name: 1A40fLa DhCvlo,J✓ Phone#: 3os' 7d'7-14/4 State Certification or Registration #: GZGo/',(30 4 Certificate of Competency #: DESIGNER: Architect/Engineer: City: e#: rM, Value of Work for this Permit: $ 1,200 Square/Linear Footage of Work: 5"4EF" Type of Work: ❑ Addition ❑ Alteration ❑ New 2 Repair/Replace ❑ Demolition Description of Work: LAP /lf- "OF fleAk 4/ 5/161a,�r rd .e�w/,✓ lvN/TE C/% %//� 'evvF Specify color of color thru tile: 10,gl rE 66LoX -rj4eac•s Submittal Fee $ C50• © V Permit Fee $ �710 0 - b U CCF $ 1. 2-U CO/CC $ Scanning Fee $ i� 0) Radon Fee $ r9 • ,`; V DBP,R� $ � Notary / Technology Fee $ l(7 - Training/Education Fee $ e `1 D Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 1A L OWNER or AGEN The foregoing instrume as acknow i dged before me this day of 20 2z by Gn(( IU( Ch 6[,h/who is personal) k�o to Signature �2v^H C;Z) Aaa- CONTRACTOR The foregoing instrumen as acknowledged before me this day of 20 �� by s Mtt '6 uv d✓, who is personally known to me or who has produced as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:tiL Print: 6 " Seal: APPROVED BY (Revised02/2412014) identification and who did take an oath. NOTARY PUBLIC: as ############### Zoning Structural Review Clerk ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 HIGH -VELOCITY HURRICANE ZONES —UNIFORM PERMIT APPLICATION Florida Building Code 7th Edition (2020) I$ECEIVED High -Velocity Hurricane Zone Uniform Permit Application Form JU// N 0 7 2022 INSTRUCTION PAGE BY; r 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 aiv' As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. 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. M uniclpal Permit Application 6. Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation CITY COPY Miami Shores Village B in Zoning Dept. g Department Date Building Dept. .. // Subject to compliancewith all eral L State and County rules and regulations. Permit# FF01.�r-22-1135 FLORIDA BUILDING CODE — BUILDING, 7th EDITION (2020) 473 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code7th Edition (2020) High -Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Master Permit No. Process No. Contractor's Name U 3 d r o✓ Job Address q3 N tj E %% 4f ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ New roof:: W Repair ❑ Maintenance ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF)= Steep Sloped Roof Area (SF) 5; Total (SF)Slq Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 474 FLORIDA BUILDING CODE - BUILDING, 71h EDITION (2020)