RF-03-22-637Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 03/16/2022
Location Address
1440 NE 1015T ST, Miami Shores, FL 33138
Contacts
ALICE BURCH Owner OBENOUR ROOFING SHEET METAL & Contractor
1440 NE 101 ST, MIAMI SHORES, FL 331382613 SUPPLY CO. INC
Other: 3053189578 JAMES OBENOUR
9822 NE 2 AVE SUITE 9, MIAMI SHORES, FL 33138
Business: 3057572612 OBEN0URR00FING@A0LC0M ..
Description: REPAIR ROOF LEAK REAR TILE ROOF OVER HANG � � Valuation: $ 650.000Ins ection Requests:
(SW) 305-762-4949
Total Sq Feet: 20.00
Permit NO.: RF-03-22-637
Permit Type: Roof
Work Clossification: Repair Roof
Permit5tatus: Approved
Expiration: 09/16/2022
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$0.20
Roofing Fee
$50.00
Scanning Fee (Manual)
$9.00
Technology Fee
56.25
Total:
$122.30
Building Department Copy
Parcel Number
1132050240030
Payments
Date Paid
Amt Paid
Total Fees
$122.30
Check # 11233
03/10/2022
$50.00
Credit Card
03/16/2022
$72.S0
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
regulating construction and zoning. Fu rmore,II authorize the above named contractor to do the work stated.
Authorized Signature: Owner V / Applicant / Contractor / Agent Date
March 16, 2022 Page 2 of 2
Miami Shores Village CEIVED
BUILDING
PERMIT APPLICATION
Building Department
10050 N.Avenue, Miami Shores, Florida 33138 BY:
Tel: (30(305)795-2204Fax: (305)756-8972__—
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No./,df -03-_2 - I
❑BUILDING ❑ ELECTRIC [✓ROOFING
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
rj
i
City: Miami Shores County: Miami Dade Zip: 33/.3 r
Folio/Parcel#:I I --32 o f - O Z 7 '1 —Oo 3 0 Is the Building Historically Designated: Yes NO V'
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Phone#:_ 41_7 7�
Address: //,iyb f✓�
City: )Vr Am / 'S'oo /t PJ State: FL Zip: 3313
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: a/gEA/OL/X- 4e, 4 � Phone#: 30j� 711'7 -14 /L
Address: A%F -JA/c/ 4✓-e
City: 4isl / o -' f State: _
Qualifier Name: JArr/o t �C. dOa
State Certification or Registration #:
DESIGNER: Architect/Engineer: �—
33,13 F
Phone#: 3Q>' %1" 2 —�//. / z-
of Competency #: popo o GS y
Address: City: State: Zip:
sy
Value of Work for this Permit: $ Square/Linear Footage of Work: oZU
Type of Work: ❑ Addition ❑ Alteration ❑ New LI✓ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile: 6✓ yi;
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF
DBPR $
CO/CC $
Notary
Double Fee $.
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ 1#-7?,
Bonding Company's Name (if applicable)
v
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
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 FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
pe
rmit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
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
day of ►( //1- am 20 ai by
H�l Ci° UrCA who is personally known to
me or who has produced
identification and who didtake an oath.
NOTARY
Print:
Seal:
itififii4fi44444f4fiiii
APPROVED BY
Signatµ�
' ` CONTRACTOR
The foregoing instrument was acknowledged before me this
164 day of O� � 20 Z2 by
�I�I MSS D%9�NP� ✓ . who is personally known to
as me or who has produced
Ysabely Rodriguez
My Commission GG 244852
Expires 11/30/2022
identification and who did take an oath.
as
Zoning
(Revised02/24/2014)
Structural Review Clerk
Property Search Application - Miami -Dade County Page 1 of 1
1, 0"A
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3205-024-0030
Property Address:
1440 NE 101 ST
Miami Shores, FL 33138-2613
Owner
GEORGE E BURCH &W ALICE P
Mailing Address
1440 NE 101 ST
MIAMI SHORES, FL 33138-2613
PA Primary Zone
1600 SGL FAMILY - 35014000 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths / Half
3 / 3 / 0
Floors
2
Living Units
1
Actual Area
4,831 Sq.Ft
Living Area
3,908 Sq.Ft
Adjusted Area
3,911 Sq.Ft
Lot Size
12,361.6 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2021
2020
2019
Land Value
$1,543,740
$1,543,740
$1,5437740
Building Value
$427,413
$393,013
$393,865
XF Value
$43,951
$44,467
$44,984
Market Value
$2,015,104
$1,981,220
$1,982,589
Assessed Value
$656,825
$647,757
$633,194
Benefits Information
Benefit
Type
2021
2020
2019
Save Our Homes
Assessment
$1,358,279
$1,333,463
$1,349,395
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
SHORES BAY PK ESTS AMD
56-86
f7BLK1
f SIZE 102.930 X 120
10878.2286 0980 1
Generated On: 3/10/2022
Taxable Value Information
li 2C ,. 2020 2019
County
Exemption Value
$50.000
$50,000
$50,000
Taxable Value
$606,8251
$597,7571
$583,194
School Board
Exemption Value
1 $25,000
$25,000
$25,000
Taxable Value
1 $631,825
$622.757
$608,194
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $606,825
$597,757
$583,194
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$606,825
$597,757
$583,194
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
09/01/1980
$235,000
10878-2286
Sales which are qualified
06/01/1971
1 $83,500
00000-00000
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This websile may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at hap://vnvw.miamidade.gov/infoldisclaimer.asp
Version:
https://www.miamidade.gov/Apps/PA/propertysearch/
3/10/2022
RECEIVED
Florida Building Code 7th Edition (2020) IVIAi( 16 LG-Z
High Velocity Hurricane Zone Uniform Roofing Application Form for M'W i-Dade County API
ts�:_--- Q
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND
ATTACH THE REQUIRED DOCUMENTS 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
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
1,2,4,5,9,*• : •• •�
Other —42epcjK
As Applicable
1,2,3,4,5,€ri•-
ATTACHMENTS
REQUIRED:
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 Product Approval
5.
Municipal Permit Application
6.
Owner's Notification for Roofing Considerations (Reroofing Only)
7.
Any Required Roof Testing / Calculation Documentation
CITY
COPY
Kam 'hares Village ding Department
20nmi; ,)ept. Dale
Buildings Deot. Da[
Sub)ect tO :dmpllance with all Federa , St to
a"' "Uunt% rules and re ulatlons.
Florida Building Code 7th Edition (2020)
V�
High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County
Section A (General Information)
Master Permit Number:
Process Number:
Contractor's Name: E'o
Job Address: /4lE le 57
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar / Adhesive Set Tile
❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ❑ Wood Shingles / Shakes
ROOF TYPE
❑ New Roof R'Repair ❑Maintenance ❑ Reroofipg'�: ,G] Recovering-
. .
...... .. .. ......
ROOF SYSTEM INFORMATION ...:.. .
Low Slope Roof Area (ft')
Steep Sloped Roof Area (ft') •,,,,• TotgM(ftt)
Are there gas vents on the roof? O Yes ('Fio
�a ..ow
. .... ......
If Yes what type? Natural • • JD ! PX
Is there an existing roof top Solar System? O Yes O'No
If yes will it be reinstalled? OYes *ga
Section B (Roof Plan)
Sketch oof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include
dimens cons of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets.
�jAh.*9 E
/SrarY \
Tip � �tocC
/ % k
� /7/4%!O /Qc•CF