965 NE 92 St (3)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date U Time
Type Insp'n 1 C PQ 1 - 1
Permit No. 4c 9V o B V
Approved
Correction
Re- Insp'n Fee
Name Le i2
Address 40S E. 6 12_ SI-
Company
Phone #
For Inspector: 6 9 9 )72 Name & Date
BUILDING
PERMIT APPLICATION
FBC 2001
1b Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address q ( 5-
city/4/4-ml .
Tenant/Lessee Name
State
Miami Shores Village
Building Department
Electrical Plumbing
LL
FL
Number of: Bays Stories Families
Type of Work: ['Addition ['Alteration New
Zip
Permit No.
Master Permit No.
Mechanical , Roofing
Phone #
Phone #
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
3 D5 - 75-- 4608
Job Address (where the work is being done) 165 S T.
City Miami Shores Village County � Miami -Dade Zip 7 31 3 t- 2-410
Is Building Historically Designated YES NO X
Contractor's Company Name Phone #
Contractor's Address
City State
Zip
Qualifier
Architect/Engineer's Name (if applicable) _ Phone #
Architect/Engineer's Address
City State Zip
$ Value of Work For this Permit Square Footage Of Work:
Bedrooms Baths
❑ Repair/Replace ❑ Demolition
/ Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ Permit Fee $ Notary $
Education/Training Fee $ Tech $ Scanning $ Radon $
Code Enforcement $ Bond $ Struct 4
.,
Minus Plans Check Fee $ Total Fee Now Due $ 4-5 - v
(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
Contractor
The foregoing instrument was acknowledged before me this 14 The foregoing instrument was acknowledged before me this
day of V , 20(,21, by , day of - , 20 _, by
who is persona ly known to me or who has produced D t j who is personally known to me or who has produced
X Signature
C.
Owner or Agent
As identification and who did take an oath. as identification and who did take an oath.
NOT ' Y P LIC: � °� / NOTARY PUBLIC:
Sign: i • /. Sign:
Print: °M � , Print:
My Commission Expires: 1� • My Commission DD150048 My Commission Expires:
? of Expires November 15, 2006
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
Chc7/7 /03
LA"
JUL 1 5 2003
29it
Plans Examiner
Engineer
Zoning
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
•
SDATE: JLtt-( 1 4 7 2 ® VS'
OWNER' S NAME: 39 C , L-`71/,K PHONE: 3013----7 1, 4 1
ADDRESS: / - _ S ` u Air../ .sL 331
************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular
Stucco Banding
Any other stucco features
Accessory Buildings
Other
ignature of Own
APPROVED:
Building Offici
7`i0
Date
7 // /
Date
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
sa ., es.
QCs
Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
Date / Job Address g11 /t£ `7 Tax Folio
Legal Description Historically Designated: Yes No Y
Owner /Lessee/Tenet A->/A' ,J( _ J r t`-JA/ Z_ Master Permit # i (=>910 /
C� 4 (
Owner's Address ' 1/1 _c Al C ij Phone
Contracting Co. ' 17)6L 4-6 /C/ %h (." Address '7Lr /t' J(i'
Qualifier 1)/1 it t£.C. ba. ss#
State # o a aL' J w j L'
• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Municipal #
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.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ( ROOFING] '
WORK DESCRIPTION: A',n 1 CL1) -p7DY C ti-to k4a.bec i e 11e -te 14 - ' 6P6r - d
Square Ft. i�> - it E L �� L /e Estimated Cost (value) .. VS
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: 1 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, 1 authorize the above named contractor to do the work stated.
Signature of owner and/or Condo Pre • = nt
• A r
o dr�c3 rQsic�eAlES?ON #' •`
P 3
.' A .<. i.. ib ?003
A " ^ ',RES lt
S,
" °' 1 ■ itd0" � ' nr�CUaH
FEES: PERMIT ;6 0 i RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Notary as to Owner an
My Commission Expir
ate
Sie� ature of Contract o Ow Builder Date
ate
otary a• to Contrac•.r or Owner Builder
My Commission Expires
Competency # Ins. Co.
r
C.C.F 1 IF 0 NOTARY -‹ > a BOND
Phone '',r D: 7.3'/ � c
TOTAL DUE U L t
Electrical
Structural Engineer
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 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
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. Aesthetics - Workmanship: The workmanship 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 the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing w ood 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 prior to removing the existing roof system).
2
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 of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed, open bean 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 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 conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
verloaded 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.
•Z 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.
er's /Agent's Signature
r. 14mn'LOr. l 5- I\T 9∎5ECTION 1511 due
/ !?1 / 2 -
Date Contractor's Signature
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2002 -1619
Printed: 10/9/2002 Page 1 of 1
Applicant: GINETTE LENZ
Owner: LENZ GINETTE
JOB ADDRESS: 965 NE 92 ST
Contractor DALEY ROOFING INC Contractor's Address: 78 NE 106 ST
Local Phone: (305)754 -9892
Parcel # 1132060060040 Legal Description: GOLDEN GATE PK AMD PB 7 - 54 LOT 4 LOT SIZE 50.000 X 140 OR 14522 - 1354
Fees: Description Amount
FEE2002 -5272 Building Permit Application Fee $60.00
FEE2002 -5273 CCF $1.80
FEE2002 -5274 Notary Fee $5.00
Total Fees: $66.80
Permit Status:
Approved Permit Expiration: 3/22/2003 Construction Value: $2,375.00
Work: Remove approximately 300 tile repair rotted wood and install underlayment & modified. Install tile flat white, do not cover framing w/o inspection
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 �or finances 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
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
thorization. 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.
Building Permit
Signed: (INSPECTOR) BY:
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: $66.80
Total Receipts: $0.00
urHy n nced d Sr e back for dttaLls.63
DALEY ROOFING, INC.
78 N.E. 106TH STREET
MIAMI SHORES, FL 33138
305-754-9892
L
DATE
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FOR P
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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
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer......
Name and address of licensed contractor
Location and leg description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
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,
therein by him stated are true.
Permit No � Date 3 — 24— $�
Disapproved ,
(Signed)
Building 1 nspector
Chairman
Member
Member ... --
MIAMI SHORES VILLAGE
Date
Read, Sworn to
PLANNING BOARD DATE
No Street
and Subscribed before me.
the build -
of Miami
rules and
approved
19
and for no other purpose.
New Building Remodeling Addition ✓ Repairs No. of Stories
To be constructed of Kind foundation Roof Covering
Estimated Total cost of improvements $ `�' ®`� Amount of Permit $
Zone cubage required -Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
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 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 notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) ��t , ti i' r•
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and that he did sign the same, and that all facts
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Council Approved Date 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.