BP-05-1522Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -1522
Printed: 10 /27/2005
Applicant: JANINE
Owner: DOMLESKY
JOB ADDRESS: 285 NE 91
Contractor DALEY ROOFING INC
Local Phone: (305)754 -9892
Parcel # 1132060133460
Building Permit
DOMLESKY
JANINE
ST
Contractor's Address: 78 NE 106 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 20 & 21 BLK 25 LOT SIZE
Fees: Description Amount
FEE2005 -13814 Building Fee $100.00
FEE2005 -13815 CCF $1.20
FEE2005 -13816 Training and Education Fee $0.40
FEE2005 -13817 Technology Fee $2.50
FEE2005 -13818 Scanning Fee $6.00
Total Fees: $110.10
Total Fees: $110.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/18/2006 Construction Value: $1,750.00
Work: REPAIR 3 LEAKS WITH MODIFIED AND ROOFINF CEMENT INSTALL TILE WHERE REMOVED REPLACE ANY BROKEN TILE
NOV 0 2 PAID
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30 )5.2201, Fax:.(3Q5)_756.8972
Lfj
BUILDING 0a >> 205 PermitNo..8PC5 15
PERMIT APPLICATION _ / M .! ster Permit No.
FBC 2001
Owner's Address .28 L' q
Cit / Shw
Tenant/Lessee Name
Contractor's Company Name
Contractor's Address 7,1 N 10/, 4 6.fr
Cit Ili i Sh IJYeS State
aided
Qualifier
State
Miami Shores Village
$ Value of Work For this Permit 1 1�
Total Fee Now Due $ i t d • LD
(Continued on opposite side)
Permit Type (circle): Building Electrical Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) A/47 thrn
Job Address (where the work is being done) aefg A/6 Arl
City y Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO l0
Phone #
Zip J 3 (
Phone #
Zip 33)3t
Phone #
Zip L. 33/3,1
State Certificate or Registration No. 0-0-0;06 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work: 505F
Type of Work:
ype DAddition Alteration {JNew Repair/RePlace ❑ Demolition
Describe Work: 11 A- 3 Ge4q-it,& 0 14 C
- �i►�tl S�-L 11 l.f LUAU/ Ra -gt'o vW
CZU iorN)y I(., 11 L
* *** * * * * * *** * * * * * * ** *** * ** *, F ees * * ** **** * * * * * ** * ** ** * * *** * * * **
Submittal Fee $ Permit Fee $ ! /9D CCF $ 1 • ZO CO /CC
Notary $ -- Training/Education Fee $ O . 4Q Technology Fee $ 2. . 5C)
Scanning $ . GO Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
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 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 . p oved and - inspection fee will be charged
t
ignature AI
Ai r ..I .i/`fir S ignature i - £.`
• er or 'gent Contractor
he foregoing i �� trument acknowledged b ore me this 1 Q The foregoing instrument was acknowledged before me this
day of �.'T , 20( by R.c.Wilk 11dayof ,20 ,by
'Lilo is personally known to me or who has produced
1 b who is personally known to me or who has produced
As identificati and who did take an oath. as identification and who did take an oath.
Chc 05/13/03
( NOTARY P i 1B tC: N i PUBLI
My Co issio Expires:
Sign: Print: l' r'" � 11 M� . i : :
�_, .
2
Zip
Zip
g TARY PUBLIC:
i ez Sign:
6455 5 Print:
l��g Co., Inc. My Commission Expires:
************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
k 0 Plans Examiner
Engineer
Zoning
Jr
1524.1 As it pertains to this section, it Is the responsibility of the roofing =tractor to pravlde the owner with the
rued rooting permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of
the F Building Code, Ekdkling govern the minimum requirements and standards of tie industry for roofing
system irstalations. Additionally, the fonowing items should be addressed as part of the agreement between the
coraia k a r _ The o w n e r % i r i G a i it the a d r n u e n t bay i dic ates b ttles ban has been eopainecL
The wodenenship provision icons (*Chapter 15 (High Veloi y Hurricane Zane)
are fir the imposed prorling drat the rotting sysleon meek; be Wind resishmce and wafter iivaliair
pafomnance standards. Aesthetics (appearance) issues are not a considered= with respect to workmanship
provnions. Ado issues such as color or architectural appearance, that are not part of a zoning code, • should
be as part tithe exam= between ens owner and the conbctar.
Ihriallog Wood Dad= When mpfackig mobs be edam wood mofdeck may have to benmeiled
nab bite owed pnwisines of Chapter 10 (WO Veber► Moderns Zones) dike firrida
Code. (The roof deck In usually concealed prior to removing the sodding roof system).
3. Common on Rootss: Common roofs are those which have no visible deiineaticn between neig hbo g
(e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner
should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed College Ems, - open beam ceilings are where the underside of the roof deddng can be
from below. The owner may wish to retain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code the
Wales: Pending The cum= roof system andiior deck of the beachg may not drain wall as may
waler to pond (arxarr ) In belying areas of the mot. Parading txni be an knicalon of shucked
&dress and may require the review of a professional l structural engineer. Porting may shorten the We
expectancy and performance of the new roofing system. Pondhng conditions may not be evident mil the original
toolng system b mmoved. Pending contilons should be co racle&
tiveellow scuppers Oral creep it is required bat makanter lion o8 so fiat the roof b rant
lima a bold up of realer Perbiebefalge walls ar other roof mdensions may block ibis disdinge E
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
with the Florida Building Code, Plumbing.
Ventilation: Most roof structures should have some abity to vent natural airflow through the Interior of
assembly (the building itself). The existing amount of ate ventilation slap not be reduced. it may be
to tired der acklional wining wild' can nevi in cadencing tbe service life dim mot.
2.K**eiae.::... D5 2;17
Propert9 Addre s •
« r . •
••••••••• ••• •
• • • • • • • • • • • •
••• • • • • •
SECTION 1524
HIGH VELOCITY HURRICANE ZONES 'REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
• •
•• • • • • ••• •
• • • • • • • •
• • • • • •
• • • • • • • ••
• •• •• • • • •• •
••• • • • • •• •
Dab Carrtadoes Sigmim
Perml Number
'ECU VD
OCT
1,S 2-Z
r
Section A (General Information)
Master Perm No. Process No.
Imo- z
Otodrattere : dab Address:
[715
❑ Lour Slope ❑ M MCepy Fastened Ito ❑ MortadAdhesive Set Tile
❑ Asphaltic Shingles Mehd PaneVShltgtes 0 Wood Shingles/Shakes
t+ ❑ owl
Roof Type
❑ New Roof ❑ ❑ r ❑ Maistensece
Are then Gas Vent Sttma boded onto word ❑Yes 0 No tiles. eat ❑ Ntaa ❑LPON
.... . •
• • .. • • •
• . • ...
Roof System Information
Sodium B(Roelf Pim)
Page 2
tow dope roof wee go1 ISteep Moped =ea On 3Q$f hied*" 1A0 sF
1 rI+... /ht,tt.ir= r o $ ^! ` ai leA ..A.it. n,Potnewn wn.ev.:4vw� /wnws.�it no.% n.rA44 .w n I TA AT
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