ROOFINGDate
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795
1 -Job Address k\ S C 54' Tax Folio d ._ ``' ° °° L'% C 1 _ ' �
Legal Description Historically Designated: Yes No
{� q` (i�,dy T� p s 1, C C , � �.
Owner /Lessee/Tenet I V �.4 �1� pi/ern/1.r Master Permit # �..�
Owner's Address 'I \ 5 1 " clqT 5 ` Phone 0 r 15 q - 6 i06
Contracting Co. KN�vA.,( C K `OO+ ` Address "-Ns ML "{2 M', a '
Qualifier NUJ l &Vk)a \ SS# Phone ' &L'5 75 i/ r/
State # Municipal # Competency # e -13P 3 . s. Co. t-'
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: Q\ r cpc r ; rear -Nom- ` roo
Square Ft. Estimated Cost (value)�� t
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 named contractor to do the work stated.
OFFICIAL. NOTARY SEAL
D ECKER
Si ' .7 e of owne . i rsrCondo President
, �
'No as t
My Commission Expires
FEES: PERMIT ® RADON
10
Date Sig u • re of Contractor or r B
Date
C.C.F
Notary as to Contractlo.rac.Qwner,Muilder
OFFIUM. NU.,
My Commission Exp¢resANtai:_t At I:
' Q iaf'7i',. ;.
b MY sri:?: .,—A...
4 C NOTA
er,21
Date
, )
Date
APPROVED: )) TOTAL DUE
Zoning Building !'2 , .i�� -- - Electrical
Mechanical Plumbing Structural Engineer
Pay to the
PAUL R. KAWALEK ROOFING & PAINTING
485 N.E. 92ND STREET PH. 305- 754 -0191
MIAMI SHORES, FL 33138 -2566
4caLQ
1:06331002 77i: 003660603.9414 2272
Date 502
order of V 1 I i /ko e c'- f ! G /-.s _ � f3
R ve H-tcr cLr ?c( SStten-4-y-7
Ba 1 �
ACH ` 3 ' 1002 1 ► '
For l1S2i \E galKd, b
2272
63-27/631 FL
810
CIO Dollars B
HP
Contractor's Name: P &i.&\ `KOJLIcl (..., Job Address:
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE 7
❑ New Roof ❑ Re roofing ❑ Recovering Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft Total (ft') Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
Ft.
A
V
Ft.
A
V
Deck type:
Is
ROOF !LOPE
ATTACHMENT
Fastener Type:
Field:
SPACING
Perimeter: Corner:
123.01.78 5/00
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
r
115 N,e y'fi - ^Sfi
r
r
LiTs\i; 'n'1117,111
9
GLS III ��T C'Td�ULaS'
7i17TIV ti''ULsLl. ❑ II,1 ,;)4 L!
ROOF PLAN
0
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
MEAN HEIGHT
Deck type:
z Underlayment:
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
Insulation:
Ridge Ventilation?
Fastener type & spacing:
12"
ROOF SLOPE
Cap Sheet:
Roof Covering:
Drip edge:
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
TILE CALCULATIONS
(Pmaxl: x ? (Aerodynamic Multiplier): ) - M = M I PCA:
(Pmax2: X 7 (Aerodynamic Multiplier): ) - M = M PCA:
(Pmax3: x ? (Aerodynamic Multiplier): ) - M = M PCA:
Page -2
5104 APPENDIX "F"
APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
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 owner 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
own
0
's initial in the adjacent box indicates that the item 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 q the agreement between the 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 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system).
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.
1M , 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.
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 he original roofing system is removed. Ponding conditions should be corrected.
NI
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 Chapter 23 of the SFBC.
1M , 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
Date
Contractor's
Signature
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 building 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
Registered Architect anchor Engineer
Name and address of licensed contractor
VQneV OfOdj
% so o
ROo'rinc
Location and legal description of lot to be built on:
Loti - // 7 /‘Block (/ l el-t/ �. Subdivision M Qe e.J1
I 4 �/
Street and Number where work is to be done L / �'(
New Building Remodeling
To be constructed of - Kind of foundation
Estimated Total cost of improvements S
0? i70 Opc.c. )OclCc)
State work to be done and purpose of building (by floors), state exterior colors ( ubmit samp es(
3� � and for no other purpose.
Addition
Repairs
Date / (>2 ) a — 19 q
No ! / 5 Street 7 -11/ ✓I
x«776
No. of Stories
Roof Covering air 0-cre,v,1
Amount of Permit S
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 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 obligatons 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 empl only such subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
1
STATE OF FLORIDA
COUNTY OF DADE. ss.
Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known.
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 facts therein by him stated are true.
(,) 17 / ; .
Permit No. Date v, v' Read. Sworn to and Subscribed before me.
Disapproved 1 Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Date Disapproved Date
Council Approved
Notary Public. State of Florida
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship.
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.
Okm -rs Name and Address__. 0 Bond
ResLiered Architect and /or Engineer.
Name and address of licensed contractor_AdamS. & Beagles Roofing Co .Inc . 4021 NV'J 28th St.
Location and legal description of lot to be built on:
Lot_. Block _ Su
115 N
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
roof. Apply 1/3012/15's
New Building Remodeling._ _____ ___- Addition
To be constructed of Kind of foundation__
STATE OF FLORIDA, I
COUNTY OF DADE. SS '
Before me,
peared
Disapproved - __
(Signed) QV. - � 3
Buildin_/ nspector
Chairman
Member
Member _
Council Approved
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT --ROOF
Date _ - -__ - --
i
PLANNING BOARD_
Date December 8 19 70
No 11 5 street-- N.E. 94th St.
bdivision_ ______
. E. 94th Street, Miami Shores,
_- Flat Patio Roof Only: Remove present
asphalt & gravel
and for no other purpose.
Repairs_R -Roof No. of Stories
Roof Covering___ Gravel
Estimated Total cost of improvements $ 5 __ 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 foi said building. All notices with reference to the building and its construction may
be sent to___.Ad .___Beagles Roofing Co._ Inc._. 4021 N.W.. 28th__St..._l�2iami,
The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act. being Sec :ion 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 ) -.
5.00
Adams & Beagles Roofing Co. Inc.
undersigned authority, a notary public, duly authorized to administer oaths and take a:'.:.iowledgments, personally ap-
to me well known,
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 facts
therein by him stated are true.
Permit No /.._9 's Date..__ _ '_ .- a Read, Sworn to and Subscribed before me.
•
Notary Public, State of Florida
My Commission Expires__ _. .._
DATE
Member
Member
Member
_Date Disapproved
9 squares
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.
Miami
. . .
c
7 9 a
BUILDING ❑
ELECTRICAL ❑ PERMIT o
PLUMBING ❑ I� . 9840
ROOFING
❑ Work to be performed under this Permit__._ ___
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
DATE 195
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 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 • 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, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
: MIAMI SHORES VILLAGE / 1" --
.: _A.
\ 1
• l 1
•
BUILDING DEPARTMENIT
, ■
i 1
• , f
Date 41 2C)
: Type trisp'n Ti 0 at - P(4 i act - i
. 2 . . . ::. i ... . ,
,
•. , _.
Permit No. CD e 21X3
--.--:_
' Name ah_petki,l_.
..,..
,;.. .... •
Address IA S NE 5k 4
Company U OE t
:-:
.,. Phone #
Correction
Re-Insp'n Fee
305-795-2204
Building Inspection Request
El
• Inspection Date 4
_
Approved
4
4
4.
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN"-
305- 795 -2204
Building Inspection Request
Date AI
Type Insp' n Tin Cc P 4 C L
adz
Permit No. `✓ 2J - 510
Name (9-\ \ l
Address US 0E, "14 5i
Company LaWde
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee