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ROOFING PERMITSDate "cyve Atisp' Pev11 TaltAe Pd&ces Comv Phorxe Itisvecuu-,-. °ate M pvov ed C Re-Vasy' lt ee • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Pluntbing Mechanical Owner's Name (Fee Simple Titleholder) //j,gfLL li %& Phone # Owner's Address q--72 93 sfr Cit nuoiNkA 51.0 State P Tenant/Lessee Name Phone # 3(i, 7sV 'JlJV Job Address (where the work is being done) OZ / 3 `-' City Miami Shores Village County Miami -Dade Zip 3 l 3 e Is Building Historically Designated YES NO X County Escrow Fee $ Code Enforcement $ Miami Shores Village Building Department ao0 Permit Fee $ 3O Education/Training Fee $ .9 a ld Tech $ «�O Bond $ °---^ Zip 33/3e Minus Plans Check Fee $ !! < Total Fee Now Due $ - I, 3 6 FJ Permit No Master Permit No. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 C Phone # 76 Jr / Contractor's Company Name f..Cs) V Contractor's Address 7g A.JE m � City A2 State Zip 3313 Qualifier c �' Phone # Architect/Engineer's Name (if applicable) Architect/Engineer's Address - City to Zip $ Value of Work For this Permit p 51 Square Footage Of Work: [,tZ_e2-/ 2 '/O Bedrooms Notary $ Scanning $ Struct. Baths Number of: Bays Stories Families Type of Work: ['Addition _ ['Alteration [ New Repair/Replace ❑ Demolition Describe Work: I j2.2G L � o Le i �,//�2 ^� Rpm Q C /0 - tit Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City Signature State Owner or Agent The foregoing instrument was acknowledged before � me � this 4 / - 7 day of MO 20a, bYrrYj f C (Lc,/ CkQ who is pe sonally known to me or who has produced 0 tt-€ 1 NOTARY Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc7/7 /03 As identification and who did take an oath. TARP F Si Print: My Conunission Expires: 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 approved and a reinspection fee will be charged. Signature . . Contractor The foregoing instrument was ackn wledged b ore thi da who is personally known to me or who has produced Mabel Var' as r 1 12 as identification and who did take an oath. . t d10�4 i 0 ^ i k f omm�sst State Certificate or Registration No. Certificate of Competency No. ** ** * * * * **** k********************* * * * *** * * * * **** * * * * ** * * * * * * ***** ..T. _ ************ irk * * *** * *** * * *** R * * * * * * ** MAR 2 6 2004 Plans Examiner Engineer Zoning 1524.11 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofmg system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's iiiitial in the adjacent box indicates that the item has been explained. I. Aesthetics - Workmanship: The workman: hip provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issu:s are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owl Ler and the contractor. " 2. Renailiug Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed pr ior to removing the existing roof system). SECT ION 1524 GIBE VELOCITY EIURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSID ERATIONS 3. Common Roofs: Common roofs are tho: a which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buil sings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. --714 1.-- 4. Exposed Ceilings: Exposed, open beam c are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may nc t be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding "conditions may not be evident until the original roofing system is removed. Ponding conditiois should be corrected. r b 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Veil filiation: Most roof structures shoul3 have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional v enting which can result in extending the service life of the roof. Owner's /Agent'sSignature Date CAD:ce=== col SzetiagAchamtasod Sett .QATemptTempo> lofnael FOMCoot..UES O W9AFT1 ‘SECTION 15241114. Con3receor liNarap: O (Low Slope Applica9tion) O (Asphalt /Fiberglass Shingles) 0 O. O New ROoT•r: • _? 9 0 Re-moiling DECKTtfPle DETAIL 1&2 SECTON 162E HIGH VELOCITY HURRICANE ZONES UNIFORM( PERMIT APPUCATION OOF'CATEGORY 0 (1 Udall -On Tile) 0 (Mortar --Seet Tile) MGM C Job Address: g7 AG 93 ® (I decal RoofsfWood Shingles & Shakes) 0 (Other) ROOFTYPE 0 Recovering ► "• I k' eps& 0 Winless Flat Roof Area (t 2 ) Sloped Roof Area (1k Total (►fix) Master Pereaaie No. Expos= category Ow ASCE 796): Building Classification cateseey (per ASS ROOF HEIGHT AND SYSTEM DETAILS (Draw oo'needed) SOW Mil FIAL Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: BP2004 -416 Printed: 3/29/2004 Page 1 of 1 Applicant: MARK WALKER Owner: WALKER MARK JOB ADDRESS: 972 NE 93 ST Contractor DALEY ROOFING INC Contractor's Address: 78 NE 106 ST Local Phone: (305)754 -9892 Parcel # 1132060350070 Legal Description: MAGEE & HAWKINS SUB PB 51 -5 LOT 7 LOT SIZE 14481 SQUARE FEET OR Fees: Description Amount FEE2004 -3293 Building Fee $100.00 FFF7nn4-3294 rCF a on .yV. FEE2004 -3295 Notary Fee $5.00 FEE2004 -3296 Training and Education Fee $0.20 FEE2004 -3297 Scanning Fee $3.00 FEE2004 -3298 Technology Fee $2.50 Total Fees: $111.30 Permit Status: APPROVED Permit Expiration: 9/21/2004 Construction Value: $650.00 Work: REPAIR LEAK ABOVE REAR BEDROOM WINDOW AND REPAIR LEAKAPPROX 10 TILES 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: Total Fees: $111. Total Receipts: I,3 X31 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 'S ' 2 3 2 Time Type Insp'n 1/41 jtAll J Permit No. ,37o2e0Z — L° °Z Name W‘Likth Address 99.2 4/P f 3 Company "` Phone # <_50,,r 7 Y l8 lit, For Inspector: S : 2y,32.. Name & te Approved Correction ❑ Re- Insp'n Fee ❑ Date 3 Permit Legal Description C Owner/Lessee/Tenet Owner's Address 4 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Job Address 9� sr Tax Folio I t .310 40 035" 00 - 70 et' NcAwk.ris sv.b 'P C4 5l 7 �sa -i-1 'C/a 6. kdo ) 4&r' Historically Designated: (77,2- k. s+- Co. 7 :)7q- - L1 ,COQ i / ii C■ Address - 2 6 ' 1 6 - 'd' Qualifier 1T>1% - 6d.te__c 7 S,3# Phone .3U'5 7 v 7 91 /, - State # e t /9b Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR .ANOTHER INSPECTION. Type (circle one): BUILDING ELECTRICA L WORK DESCRIPTION: l4 I l2s Square Ft. tAA -5 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above namcd contractor to do the work stated. J3, of Signature of owner and/or Condo President �/ ' LD, to /' J _ Owner mbitiso • p : VFW* My: s ipirEspi May 04, 2003 tto. CC832984 Bonded thru Arthur J. Gallagher & Co. Est mated Cost (value) 6/ s Lure of Contractor �� t, f, r j ' l �. ' `otary as ti Contractor .r Ow er Builder My Commission Expires Yes No >C J I) Master Permit # f �O • /� / Phone 3Us PLUMBING MECHANICAL NOTARY ROOFING 119 Date FEES: PERMIT 6 1 / 0., RADON C.C.F APPROVED: TOTAL DUE Zoning Buildin Electrical Mechanical Plumbing Structural Engineer BOND f L ( 5:c•pc =L c. f (vG ,i.S C Z): F1 FL ci New Roof QRt --ruo; i '1 \ V. . y /tea 1 do 7 ,c • RO 0 N „ C -ET. = .`a) s 1; f D S Co rz,, c'e: 4-- 11 Dec< cT c 'C_cr: des yforrr lad Adz - sYe Se: Tie T C ?;$ Fast..cr Trio i (L'z •' IL; :) DETAIL 1 & C = - cry ( 1 S 743 (C =) ROOF iLA , 1 I , I 5 5 I 5 I , , 5 5 5 • , ; 5 , 5 , , , • e : 1 ' - — - • - - - I 1 5 ■ r - - -- ' ' • • ; ; 1 ; . 5 5 I 1 5 1 5 ' , • , r r ' r r ' , • ; • ' ' 1 — 1 ' t , I r ' • ' 1 r , 1 1 ' , , 1 1 5 , ' • ' 1 ' , ' ' 1 ' I , ' , ' , 1 ; 1 I • 1 5 • I I 1 • 1 I , I I 1...: , 1 / ' • ' 5 t I I • 5 I , 1 1 ,' 1 I 1 , +,' , I I 1 1 , I ' 1 r ,: + , • 1 I i 1 1 , , • 5 , 1 I. 5 55; , I , ' , ; , ' , I 5 1 . 1 , 1 + , + , 1 i , ' r 1 + , 1 1 1 1 1 1' r ' ' ' 15:: ' .:55 ... ' I ' ' ' ' ' ; ' 1 , 1 , i ///1 : I : , 1 , , , + I. , 15,5 , 1 t 1 1 1 I 1 1 1' ' 1 1 1 • 1 1 ' ' : ' 1 1 1 ' 1 1 ' 1 1 , ' 1 ' • ' ' ' 1 ' 1 ' ' 1 ' 1 , • , 1 , , 1 ' • ' • I ' I , 11 1 1 ' • ' , ' 1 1 , • , ' , ` 1 • , 1 • . , 1 : 1 1, 1 1 ; , 'V ' , 1 1 I r 1 1 I 1 ' , ' 1 1 , 1 ! , • ' 1 8 • ' 1 ' 1 ' 1 5 ' 1 ' , s ' 5 : ' . _ : —: r , ' 1 1 1 + 1 1 5:. 1 • • 1 , 1 i ; + , • ' • r - -- 5 ' , — — — — — — - • __ - -- , • • APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsit ility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 c f the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetic - Workmanship: The workman: hip provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. ,Rd 2. Rersailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) C U 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants c.f adjacent units of roofing work to be per ormed. d 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decl<.ing may not be acceptable. The SFBC provides the option of maintaining this appearance. a ) 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ao 6. Overflow Scuppers (wall outlets): It is required that rainwater flow oft so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. o &) 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agent's Signature Signature 5104 APPEi`;DIX "F" 3 Dare Contractor's Signature Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/25/2002 Applicant: DOUGLAS Owner: ROMANIK Permit Number: BP2002 -605 ROMANIK DOUGLAS Contractor DALEY ROOFING INC Address: 78 NE 106 ST Local Phone: (305)754 -9892 Cellular: Parcel # 1132060130450 Job Address: 92 NE 95 ST Work: Fees: FEE2002 -1700 FEE2002 -1701 FEE2002 -1702 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & W1/2 LOT 2 BLK 4 LOT SIZE Description Amount Building Permit Application Fe1060.00 CCF $0.60 Notary Fee $5.00 Total Fees: $65.60 Building Permit Permit Status: Approved Permit Expiration: 9/21/2002 Construction Value: $860.00 REPAIR 2 LEAKS ON TILE ROOF APPROXIMATELY 80 TILE / / ,) ', r �. / ie CJ-/ c 4 4 C o �� r [ keg Page 1 of 1 Total Fees: $65.60 Total Receipts: $0.00 uY . S 4 -.Q If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. • Signed' 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: 1 (INSPECTOR) BY: (Contractor or Builder) BY: Miami Shores Village Building permit J 10050 NE 2nd Avenue v Phone: 305- 795 -2204 Permit Number: BP2002 -612 C./C Printed: 3/25/2002 Page 1 of 1 C\`) Applicant: MARK WALKER Owner: WALKER MARK Contractor DALEY ROOFING INC Address: 78 NE 106 ST Local Phone: (305)754 -9892 Cellular: Parcel # 1132060350070 Legal Description: MAGEE & HAWKINS SUB PB 51 -5 LOT 7 LOT SIZE 14481 SQUARE FEET OR Job Address: 972 NE 93 ST Fees: FEE2002 -1724 FEE2002 -1725 If there is no permit pac fee is $50.00, which must This Permit is granted to the col ordinances pertaining thereto and and approved by the proper munic authorization. A further condition ordinances and regulations pedal' by his agents, servants or employ Signed: In consideration of the issuanc with the plans, drawings, statem. myself, my agent, servants or en Signed: i, Description Amount Building Permit Application Fe$60.00 CCF $0.60 $60.60 Total Fees: Permit Status: Approved Permit Expiration: 9/21/2002 Construction Value: Work: REPAIR TO THE TILE ROOF • Look for: blue background on the front of this check:.and'the itna0Safe0 logo on back: If not present. do not cash' PAY TO THE ORDER OF BankofAmeric . FOR ACH Ha 063100277 DALEY ROOFING, INC. 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305 - 754 -9892 $435.00 Total Fees: $60.60 Total Receipts: $0.00 DATE us00 38 6011' l : 6 30000 4 7,: 00 /S962195030 3860 $f4 63 -4/630 Fl 1035 PERMIT APPLICATION FO .R MIAMI SHORES VILLAGE Job Address q -7.7- /(.+C 03 v Tax Folio Legal Description Historically Designated: Yes No Y / Tenant d 6-44- 6 Master Permit # 9 �3 lac Date (1)1 / O Owner's Address Si ature . o er and/or Condo President Notary as to Owner and/or Condo OLCIA M. SOCARRAS Notary POKe, Slate of Florida Wy Comm. Expired May 22.2O03: No. CC8:29i60 f3oi thru Arthur J. Gallagher 4 Cc. q7d- ! q S - f`� Phone 4%? e Contracting Co. 0g4,10/ On /uC J,JG Address 72r /1 /44 ��- Qualifier hrblk Pu SS# 6 - (5 - 0cn Phone 3gc 75* 9er a State # t_a- 0-0S 1 a Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor sident Address 0 0,11 -Ceti � PAVING FENCE SIGN WORK DESCRIPTION P&)W- / 0- 0 20 Zi€ C SOfh LDer 2 - Lee a- Square Ft. u-iL4 - Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL R Estimated Cost (value) , WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF Y OU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a pennit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurat' and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contract( it to do the work stated. ate ature of Contr• .tor or • >, Acip , . Date otary : ' to Contracto - or w er- Builder My Commission Expires: FEES: PERMIT - , RADON C.C.F. 4 - 60 /I APPROVED: / Zoning Building Electrical Mechanical /0/1 Date er -Buil i "'gticKER �PnY PUe�, A p�GELA� o � rauusew � ; CC,79 911' >^ p I CO N iSS!0:1 FJ102 yl N 4V4V. 9,�.s — NOTARY So ° »i F � TOTAL DUE 6.S. .� ate Plumbing Structural Engineer 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERA.TIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the ow:ler with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the it -:m has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 741 -1,2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system : - 2. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants cf adjacent units of roofing work to be performed. ✓ � 2 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. " Z 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. C c.•flow Scuppers (;wall ciutlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agent's Signature Signature Da e Contractor's Signature •C. Name: • (L w Sicce upLIC-.ca) O F!c - : 'Fat Roof ...AL= (a} Sicccd Rr.:cf ($ - - 7 B,r rirrt.r (`'<rtiCiCQI7 =gar! (-^:. - 7--38 tic ix Ft Ft New Roof Q Re- rooting CRe vei ng f De :A rypc F3stezer Tpp Fte'.d: DETAIL 1. Sc. Nor::r lad A dhczve Se. Tic Job idd.-�s= _� 7� /� C 9'3 // ()OF 7 (biz Cu Uc) ROOF ROOF HEIGHT .ND SYS=.i DETAILS (1)1"27r deruis • 1 1 t I • 1 1 1 1 1 , , 1 ' 1 ' I ' 1 1 1 1 r 3 1 1 1 1 • i r l 1 1 t , r ■ 1 1 r -- _ 1 1 1 1 — — — — — — — — — — 1 , 1 1 . 1 1 • 1 f a i I 1 1 1 t 1 1 I I t l 1 3 r 1 1 , 1 , ' t 1 ' 1 1 t, I r, l; l 1 1 1 1 r 1 1 , 1 a 1 1 I I r 1 1 1 • 1 1 1 1 1 1 1 1 t t 1 1 a 1 1 1 1 1 1 t 1 , 1 { 1 1 1 I 1 I 1 { t • i- 1 1 1 1 1 1 1 1 1 1 1 1 1 1 , I 1 1 } 1 1 1 1 ; 1 1 ' 1 ' I' I I I ' I - 1 • 1 1 1 { 1 1 1 1 1 1 1 T I 1 1 1 1 / 9 1 1 1 1 1 1 1 1 1 , 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1; — , ' , I 1 1 1 1 1 I i' 1 1' ' 1' r' 1' 1,' 1 '- 1 1 1 1 1 1 1 1 I l t I; i l ; 1/ 1; 1 1 1 , 1 1 1 1 • • 1 t 1 l 1 1 , 1 , 1 1 t I [I 1 1 1 1 , 1 1 [ 1 1 1, 1 ) ' 1 [ 1 1 9 I t + I , t 1 / 1 1 I I I t t I + 1 1 1 1 1 1 1 1 1 1 1 1 1 1 , 1 1 / 1 1 I I , I 1 i it : I I I ■ , 1 1 1 T 1 I 1 I 1 1 t 1 9 91 1 1 • I I 1 1 1 1 ) 1 1 1 1 1 l ' 1 1 I I I I I I I 1 1 1 1 1 1 I I I I i ; l l 1 1 1 1 p t 1 1 1 1' 1 1 1 1 J I 1 1 1 , j .M. C3r•s+er' -.___ I I a 1 1 1 1 , 1 1 1 ---- ---- - - - - -I 1 1 . I 1 r 1 1 1 . r 1' '-- tea.------- - - - - — 1 1 t , I I -- - - - - -- I i a • ' — ------ 1 • P -1(7.-; 11 1 i = c ROOF Pr AN Application is hereby umdc for the npproval of the detailed st: te,nene ue uie plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and n11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Larry Pendelton _ Ido: 6' 3..... Registered Architect and /or Engineer Obenour Roofing Name and address of licensed contractor Location and legal description of lot to be built on: Lot 7 Block 97 2 Subdivision 93r Street and Number where work is to be done ._ .._ State Reroof d ent i re ur resi denc e ( floors). with whit tile New Building Remodeling Addition To be constructed of Kind of foundation wood Estimate Total cost of improvements $ 8 s 100.00 Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. as' Date ...I P Disapproved , {fi �A x Date.__.. (Signed) NOTE: A charge of $1.00 will be ntnde for the Plannifig Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FoR BUILDING PERMIT Co. 7357 N.W. Miami.... t., Miami._.._.. . 'dida,a:ild. 1/ 3, ao2 ' Street Miami Shores and for no other purpose. RepairEer of Stories Roof Covering white ti le 30000 Amount of Permit S Plan Cubage Size of Building Lot I hereby submit all the Wans and specifications for said building. All notices with reference to the building and its construction may be sent to.. 7357 N.W. Miami Ct. Miami, FL 33150 The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public nonce or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, oa woe to be performed under t is pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, a undersign d authority, a notary p j bli dal authorized to administer oaths and take acknowledgments, personally ap- peared C /1j and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all faces therein by him stated are true.. Permit No N(A3 A Building Inspector Ciiair:nan \Icrr,bcr Member — - _..._. —...... Council Approved PLANNING BOARD DATE Member Member Member Date Disapproved making corrections or changes to Dat ®..._Dcember 1 1 985 nt,. a,•••.... .. ,1 TOAY!•.,t..,Vtet -••, to me well known, Sworn to and Subscribed � ���� -mac Notary Public, State of Florida NOTARY PUBLIC STATE OF.FLORIO); My Commission ExpireMy.c(}p f. pN..IxpIRiowit j89_ Date this application after approval has kern obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 4 PERMIT IN? 11755 Work to be performed under this Permit Subdi- vision Value of Project $ Contractor's License No Amt. of Permit / This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and apprcved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ' , Signed: BY 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 responsibility for all work done by either, mys tlf, my agent, servant or employee. /%. AV- 7 of p , BY AUTHORITY 195_ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / < 1?-99 Job Address 9 9,2 , E. 1,3 5+ Tax Folio Legal Description I- [istorically Designated: Yes No /Lessee / Tenant 13:I\ 4- L) e_YL dam, e_ 0 ©lam Owner's Address ( / o. N • E . l 3 rL Phone 9 5 t - c yid Contracting Co. OlA �i l l f � Y��1 00 0.Ck' - c , Address 5"/ f). IA). ! ! Sk Qualifier eat I c S NC o a■-o SS# )-( Phone O / - D)F.,2. State # 12-C_ D 0 SA to a 7 Municipal # Competency # ? k 5 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OOFING PAVING FENCE SIGN WORK DESCRIPTION g afaC 8 2 \ -ecl-S Dr) -c eccU &, c _ e Ire 1/ Square Ft. ,Q,vL Estimated Cost (value) ,5 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ‘14.r.6j,) Signature of owner and/or Condo President Date / an a . .o.,' a ide _ _ s;eyy MARYLOU HERNANDEZ 41 'As ' ,1 MY COMMISSION it CC 324212 �:. ;= EXPIRES: October 10, 1997 •' Bonded Tiro Notary Public Underwriters Notary as to O , er My Commission E xpir FEES: PERMIT RADON APPROVED: Zoning Mechanical Building -/7 -97 Date Plumbing Master Permit # 4' 0 ' % 7 Signature of Contractor or Owner- Builder 911 a Notary as to Contactor or 0 My Commission Expires: C.C.F. r 60 NOTARY r - BOND 300 TOTAL DUE 3‘ �. Electrical / -A/ - 9 . 7 Date / -� /-97 YLOU HERNAND ,, MY COMMISSION d CC 324212 rJ EXPIRES: October 10, 1997 Bonded Thar Notary Pub4c Underwriters Engineering STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address_ ' ill__ A Q I‘ A t J , .. c∎r z'∎ Registered Architect and /or Engineer h Name and address of licensed contractor_ '. ‘ __ .a7 g I-t \ 'l s� "' —°2C Location and legal description of lot to be built on: Nt Lot Block Subdivisior pp Q - - �i1N 1 Street and Number where work is to be done._ __1___ N _,_ -_ 1. 3 -h State work to be done an urpos of uilding (by floors) - - - -_. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories f To be constructed of Kind of foundation - Roof Covering — 77--1-g- Estimated Total cost of improvements $ — _Amount of Permit $ r 7 06 Zone cubage required _ _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor _ I-berebysebr it- alLtlte_plans -and s peeffrsti nrfursaid:building, All notices with reference to the building and its construction may nn be sent to ?s It _1 _ r a 1l ^ 2� 1` ! c rC� 7 , �w r) �e The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require simlar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to err.ploy only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. . Remarks � a s d (Signed) ` l t? / 22_ ` ?_ . Date 6 / `S , 19 No. _ / _ _� _ ._ if f Street Before me, the undersigned authority, a notary public, duly at.thorized to administer oaths and take acknowledgments, personally ap- peared – – – -- – - – to me well known, and who, being by me first duly sworn, upon oath deposes and m/s that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date__ n U e/ Read, Sworn to and Subscribed before me. __ Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member _ Member Council Approved Dat: ' Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 3(0 541 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 1'4'77 305- 795 -2204 Building Inspection Request Date '4 Time Type Insp' n I I t �,1I 1 Permit No. \\ 3P __nn J I1-3. W Name o, \c/T Address G S Company t'C O 4' Phone # For Inspector: 6p 0.1 1 15 Name & Date l Approved Correction Re- Insp'n Fee ❑ Qualifier BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Tenant/Lessee Name Phone # Permit NcOPDSS3 -1123 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) 4/O(_ U ✓41.,1 _ Phone # Owner's Address 5 3 City n11044/ Sit tiye 5 State Zip 33/ 3S Job Address (where the work is being done) 9 7,2_ i g3 J ee- I City Miami Shores Village County Miami -Dade Zip .3 3 ( 3 g Is Building Historically Designated YES NO >/ a Contractor's Company Name Dak f 41J /tC-- Phone # ,dos 7/ 9c * Contractor's Address 18 ik i, 10 (p OA Cit r U 1 taw St'i (Y C State Zip 3 3 Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City ate Zip $ Value of Work For this Permit ��� Square Footage Of Work: 0.-4_41—e..4_, Number of: Bays Stories Families 1 Bedrooms Baths Type of Work: ['Addition ❑Alteration ❑New lace p ep ❑ Dem olition / Describe Work: 1i OYt /.-2 )( /2 ,( j(1Yj fa k) i i� he/14, pp,2 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fee Calculation -Misc Permits * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ I () Permit Fee $ ZJ 0 . Notary $ _5 , 0 0 Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Fee Totals $ Z 1 c (7 a- 0 (Continued on opposite side) 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 approved and a reinspection fee will be charged. Signature / / Signature Owner or Agent The foregoing instrument was acknowledged before me this day of. a if ,20 / i 1/v v L1<a1. , ,11• .0 • ersonall LIC: / who is personally known to me or who has pr As identification and NOTARY PUBLIC: Sign: Print: G Ec; A, 4 2.D '4 . \n/ s4 2---14: E Contractor who is r The foregoin • instrument was ackno . - dged before e this ■ day of 2 , by r• . . me or who has produced as identification and who did take an oath. My Commission Expires: 9 . / L. Cdb 1 -7 4 Commi . . , X i :M Becke . r****.**********, t, r************************** * * * * * * * * * * * * ** * * * * * * * * * * * * 4,M44,4 -viisei r, * *** * *** * * * *,r (Certificate of Competency Holder) °►„ EvIno1 November 18 2008 State Certificate or Registration No. Certificate of Competency,No. ############### # # # # # # # # # # # # # # # # # # # # # # # # # APPLICATION APPROVED BY: Chc6/18/03 Plans Examiner Zoning Contractor's Name: ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New RooT ". Flat Roof Arca (ft Sloped Roof Area (ft Total (ft Master Permit Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 7-98): DECK TYPE: FT SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION t „ pa. % ROOF 'CATEGORY ❑ (Nail-On Tile) . ❑ (Meial Roofs/Wood Shingles & Shakes) ROOF TYPE ❑ Re- roofing ❑ Recovering ROOF HEIGHT AND :;YSTEM DETAILS (Draw details as needed) ATTACHMEF T FASTENER TYPE DETAIL 1E2 SPACING Job Address: 9 '1a- AJE 9 4/00 FIELD: PERIMETER: _ CORNER: L r P ❑ (Mortar -Set Tile)* ❑ (Other) Repair ❑ Maintenana FIGUR J HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION TOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with t1 e. required roofing permit, and to explain to tl to owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owzier's initial in the adjacent box indicates that the item has been explained. a f,ZI. Aesthetics-Workmanship: The worlonanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance,► issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between de owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually conceal ed prior to removing the existing roof system). �3. Common Roofs: Common roofs an those which have no visible delineation between neighboring units (i.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. . Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking mry not be acceptable. The Florida Building Code provides the option of maintaining this appearance. -a �5. Ponding Water: The current •roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original r offing system is removed. Ponding conditions should be corrected. 6 . Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's/Agent's Signature c DOCIDIa -bk spiLOC lLS4ComOICTIOX 13.d9u L(21 Date Contractor's Signature