RF-10-1037Scheduled Inspection Date: June 18, 2010
Inspector: Bruhn, Norman
Owner: COOK, BARBARA
Job Address: 9801 NE 13 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: ARCO CONSTRUCTION
Building Department Comments
June 17, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 145521 Permit Number: RF -6 -10 -1037
For Inspections please call: (305)762 -4949
Permit Type: Roof
Inspection Type: Final
Work Classification: Hurricane Mitigation
Phone Number
Parcel Number 1132050090510
Phone: 305 -892 -6507
attachement of unsecured roof rafters to tie beam using
HGAM -10 hardware
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
(it
Page 7 of 8
AFFIDAVIT OF COMPLIANCE WITH ROOF DECKING ATTACHMENT AND SECONDARY
WATER BARRIER HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT
SINGLE FAMILY RESIDENTIAL STRUCTURES
PURSUANT TO SECTION 553.844 F.S.
To Building official
Mr. Norman Bruhn
Village of Miami Shores
10050 NE 2nd Ave.
1Wliami Shores, FL 33138
Re: Mrs. Barbara Cook
9801 NE 13 Ave.
Miami Shores, FL 33138
Permit Number: RF-6-10 -1037
Dear Building Official:
1, Lester Jensen, certified that we have attached all unsecured roof rafters on perimeter of the house
using FIGAM 10 connectors as required by the Manual of Hurricane Mitigation Retrofits for
Existing Site -Built Single Family Residential Structures as adopted by the Florida Building
Commission by Rule 9B -3.047 F.A.C.
(CORPORATE SEAL)
DATE: 06, 17 /0
Print Naive
Project Address
9801 NE 13 Avenue
Miami Shores, FL
1132050090510
Block: Lot:
BARBARA COOK
Owner information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
BARBARA COOK
9801 NE 13 AVE
MIAMI SHORES FL 33138 -2503
1
Contractor(s)
ARCO CONSTRUCTION
Phone
305 - 892 -6507
Cell Phone
Type of Work: Hurricane Mitigation
Additional Info: STRAPING TIE BEAM WITH RAFTERS
Classification: Residential
Scanning: 1
Fees Due
CCF
Education Surcharge
Permit Fee - Repairs
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$0.80
$105.00
$3.00
$3.20
$114.40
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. Futhermore, I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Address
Expiration: 12/13/2010
Parcel Number
Phone
Pay Date Pay Type Amt Paid Amt Due
Invoice # RF -6 -10 -38133
06/17/2010 Credit Card $ 114.40 $ 0.00
Valuation:
Total Sq Feet:
$ 3,500.00
0
1
June 17, 2010
Date
Applicant
Cell
Available Inspections:
Inspection Type:
Final
PE Certification Letter
1
June 17, 2010 1
t ho
Atexal-
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING'
Owner's Name (Fee Simple Titleholder) Co Q`c. Phone #
Owner's Address q'®( Q � E ) °t V
U `
City _ cS A_ 0.-r-'e7 State
Tenant/Lessee Name
Email
Job Address (where the work is being done) 3 g 0 f Yv 13
City
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
Contractor's Company Name
Contractor's Address
City io r11il11,L
Qualifier Name Le.S' e
State Certificate or Registration
'Contact Phone
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ ,45":00
Type of Work:
Describe Work:
MS,: t
['Addition ['Alteration
-(!O � �•-% -e
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Miami Shores Village County Miami -Dade
0 (®v) i• q ° Phone # , �G 6S' 7-
State F ( Zip 1 9
`eV) 5 Phone #
o. CG C- J$ , �f S� Certificate of Competency No.
E -mail
Square / Linear Footage Of Work:
❑New
Submi $ 1 , '"" Permit Fee $ ' CCF
p
0-1c0
Permit No.
Master Permit Nog
Zip
Phone #
Phone #
Zip ; 1 3??
Repair/Replace
*** ***** **** ***** ***F ees*** **** **
Notary $ Training/Education Fee $
Scanning $(, 00 Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $
Flood Zone
CO /CC .$
Technology Fee $ (�
Bond $
❑ Demolition
See Reverse side -*
r j aggVZ I UN 0 S 2810
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 app and a reinspection fee will be charged..
Signature / a/c Signature
Owner o gent
The foregoing instrument was acknowledged before me this 3 /Ja The foregoing instrument was
day o wnrL , 20 /b, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
SAVI�r? n
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
,4
ctor
wledged before me this f'
day of p!( , 2016 , by
My Commission E
Print:.
liiil 4
Semdra Tit : MELIA
Hart
Commission #DD8675$9
_..
Expires: APR. 02,2018
* * * * * * * * * * * * * * * * * * ** * * * * *' ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED B V / d 5 / / ®• Plans Examiner
NOTARY PUBLIC:
1 /kW
A C'• T/$ T
Sign:
Print:
My Commiss
C.STAT&
"01Lw: Am i
* daurnegi 4 * * * * * * * **
Zoning
Clerk checked
June 07, 2010
Building Official
Village of Miami Shores
10050 NE 2nd Ave.
Miami Shores, FL 33138
Re: Property located at:
9801NE13Ave.
Miami Shores, FL 33138
Dear Sir:
Sincerely,
A h.co G vris cu.a -4ian Cc›
During our inspection of the subject property, we have found that its roof does not comply with
requirements of roof to wall connection as mandated by Florida Stat»s section 553.844.
Arco Construction Corporation proposes to retrofit the attachment of all unsecured roof rafters on
perimeter of the house using HGAM 10 connectors for which we provide engineering specs.
Lester Jensen
for Arco Construction Corporation
Genew2 Cori aavvs/CGC1505163/1665 N.F. 137th Te'vcace /N.Miami, FL 33181
305.892 - 6507 /Fax 305.892 -2379
PERMIT
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
SUBJECT i0 CCMPLIANCE WITH ALL FEDERAL
STATE AND CCUN iY RULES AND REGULATIO':S
WO/ ,vim /3 a/t/
„Wet-4i Sia_aikt--r
h.w
eri x
4-11 f--otA‘frie+-s
lo - 103 - 1
4,%„ zlhadici
tcck t,
JUN 1 201
THE POLCtEB OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE SIRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTINM4STANDMG
ANY REQUIREMENT, TERM OR CONDRION OF ANYCCNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR
MAY PERTAW THE INSURANCE AFFORDED BY THE DIES DESCRIBED HEREIN IS SI C TO ALL 114E TERMS, EXCLUSJONS AND CONDITIONS OF SUCH
AGGREGATE UM SHOWN MAY HAVE BEIM REDUCED BY PAID CLAIMS.
� F p ouCIES.
A C
1
� . O LIABILt1 •': 070L347980
)� 4..OIR4 4AVIEsirf
Ty/:%
05/21/10'
05/21/11
i
300,003
J ., I r- .
100 WV
. CatlaktAtt - LjJ?':, ;
' q may 1 �•: ��,,
4 MP
! PERWRAL $ ADV t1RY
$
300 ,000
--1
Rte} t CAROM
$
300.
- pft.A3ORE TEIfIaarPFW SPES! ;
X1Ax Yf 1 O ;
300,000
i
ALL OwdEiALI -OE
4E Ut.sEtALr0S
IIIEPAVM
'd VAOseC AUTOS I
LE Uh9/
E L'•
: (Potpourri
er
' {PR YOrE;
PROPERTY 11000E
?Parted;
E GA JAaILAY
PNY ALmo !
WO OW( - AAMMO'
•
THAN EAAGC
S
01-St
; AUTO ONLY:
MEN UAa>LFTY
7 oCC. : NS :
3CO.IRRENCE
L5RE
i LEGATE
N aMotoYa�UASi W
j ANY PROPRi vE
i I1 • Ny ,
' AtogiToovitutstiostr tzeiaa
i`ilSA .O
. Es_ EP�t E(IT
$
•
i EL C;j •SA:Rd -VI
; E L. DOME - POLICY A AS
I $
1.
OP TKonsLoCA•nate , ,ExCulSopis ADDER e,r EICORIEVENTi *MALPROMOMir
GENERAL CONTRACTOR
ACa
ALL CITY INSURANCE INC- ACI
PO BOX 622464
MIAMI
(MEI 4364780
ARCO CONSTRUCTION CORP
1685 NE 137 TERRA
MIAMI
AGGRGENIXIMOMS)
CERTIFICATE OF LIABILITY INSURANCE
FL 33152
FL 33181.
VILLAGE OF MIAMI SHORES
BUILDING AND ZONING DEPARTMENT
10050 NE 2ND AVE.
MIAMI SHORES, FL 33138
Ve EEMULIONYVYI
05/23/20
THIS CERTIFICATE I8 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
'SRS MORONS COVERAGE
t A MIO+ITINENT CASUALTY' COMPANY
MVP
thi$LIRER
IAIRSER
CANCELI.AATION
AIRHORRERRERESERfAThe
'23418
AI B
SNOULDNif WOE A POLICES GANCELLED smtmove ExPIRMION
taRW MIr, Deimos WILL ENDEAVOR TOUAL 34 MY$WIRTRIN
IMPOf NO OOUQATiON OR UABI1$W of ARV MO 0'014114E MU ER, NOR
RERRESEVATIVES.
0449141099AGORBOGAPGRORGN AB+ta
The AMMO same and logo acs registered matte of ACORD
i