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RF-09-1518 o p Miami Shores Village 10050 N. E. 2nd Avenue' Miami Shores, FL 33138-0000 z r � y a Phone: (305)795 -2204 a � 3. 4 � �'�� 3 7 � f Expiration: 03115/201 Project Address Parcel Number Applicant 534 94 Street 1132060140950 LESLIE KLEIN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell LESLIE KLEIN 534 NE 94 ST (305)876 -7514 MIAMI SHORES FL 33138 -2848 Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00 QUALITY ROOFING CONTRACTORS 11305 -751 -0382 _._,.,.. Total Sq Feet: 1000 Type of Work: Repair For Inspections please call: Additional Info: (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Roof Repair Final Roof Roof Review Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $1.20 RF -9-09 -35889 $ 110.10 $ 60.10 Education Surcharge $0.40 Permit Fee - Repairs $100.00 RF -9-09 -35889 $ 110.10 $ 110.10 $ 0.00 Scanning Fee $6.00 Check #: 25804 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $2.50 Total: $110.10 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. September 21, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy September 21, 2009 1 Miami Shores Village Building Department 5� 10050 N.E.2nd Avenue, Miami Shores,.Florida 33138 • Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Roofmg Owner's Name (Fee Simple Titleholder) Leslie A Klein Phone # (3 0 5) 751-9966 Owner's Address 534 N. E. 94 Street City Miami Shores State Florida Zip 33138 TenanYUssee Name Phone # Job Address (where the work is being done) 534 N. E. 94 Street City Miami Shores Village County Miami -Dade Zip 33138 FOLIO /PARCEL# 11-3206-014-0950 Is Building Historically Designated YES NO X Contractor's C ompany N Roofing Contractor phone# (305) 953 -3333 Contractor's Address 13800 N W 1st Avenue City Miami State Florida Zip 33168 Qualifier Name Carlos Arocho Phone# ( 786) 367 -2029 State Certificate or Registration No. RC 0 0 5 8 5 2 7 Certificate of Competency No. 0 0 0 01 7 8 8 9 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 2 , 0 0 0.0 0 Square / Linear Footage Of Work: 1 / 2 s q . Type of Work: ElAddition ❑Alteration ❑New X® Repair/Replace ❑ Demolition Describe Work: R epair fron overhang of the roof. Wi ll r epl ace rot wood. Submittal Fee $ Permit Fee $ CCF $ 0•00C) C61eP Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (00 ' lD See Reverse 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 Signatur Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this �_ The foregoing instrument was acknowledged before me this day of , 20 D 1 , by LeJ v e. k1l $ day of 20 !1, by lees Pro GLa , who is p ersonally know to me or who has produced who is pertonally Uown to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ® ® ® ® ® ®141t MARY4 1,f NOTARY PUBLIC: .• ° °O coM®Gym � ��\` ® ®�oa *god • ��� ® � / � B � Sign: ° z e -° ti • v ® Sign: ° . • • rn �° ° Print a �,� ® a o r°n Print My Commission Expires: ® ® ano a ° °••P ® ® ® ® 4 My Commission Expires: �A a 6� APPLICATION APPROVED BY: P e d — d Plans Examiner OF Engineer Zoning (Revised 07/10/07) SECTION 1524 HIGH - VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. 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 designated space indicates that the item has been explained. 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) 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 wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High - Velocity Hurricane Zones) of the. (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. 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 owner 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. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup 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 requirements of: Chapter 15 and 16 herein and the ....... . .. .. Fl orida Building Code, Plumbing. .... . . ......... . 7. Ventilation: Most roof structures should have some ability to4e&na6ral aikov! 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 add itional.ventjgg whigp can result in extending the service life of the roof. % .. ... . % . . ....... . ..... Owner's /Agent's �ignat ate ContractoM $igrtatutd: ; Date . ..... . .. . . .. .. . . . .. .. .... . . .... . ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name Quality Roofing Contractor, Inc. dobAddress 534 N.E. 94 STreet Miami Shores, Fl 33138 ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof ❑ Reroofing ❑ Recovering NY Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) N/A Steep Sloped Roof Area (SF) 1 / 2 s q . Total (SF) 1 / 2 S q . Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. . • • • .• • . . . 15.32 : FLQRIDkOBilLDIN4COD� 6 UILDING Goo ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof S s tem Existing .Roof Roof System Manufacturer MonierLifetile, L LC Notice of Acceptance Number: 1023.07 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations) P1: N/A 1 N/A P3: N/A Maximum Design Pressure (From the Product Appro Specific System): Steep Sloped Roof System Descript Deck Type: wood 1X6 Type Underlayment: 301b. A STM D-226 Roof Slope: - -- -- - — - 3 12 - -- -- - - -- Insulation: N/A Fire Barrier: N/A Ridge Ventilation? Fastener Type & Spacing: 1 1/4" R / S na I:N /A -- - - - Adhesive Type: Type 11 mopping a Type Cap Sheet: 901b. ASTM felt Mean Roof Height: 1 11 Roof Covering: Vanguard Roll Tile Type & Size Rr1jf "; ; �•' Edge: 0 .: .': : : :•: • .. . . . . . . .. ... . . .. .. • . •.• •• . . . . . . . . . . . • . . 0 0 . .. • . 0 15.34 :FLjQlVk' jLQINjCOj; -BUILDING M 1� ' MIAMI -DARE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, sUrM 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -29M NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida. Building Code. DESCRIPTION: Vanguard Roll COnCrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami- -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayers, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. • • • • • • • The submitted documentation was reviewed by Alex Tigera. .. . ... .. .. . . ... . .. . . AND :: : : ' NO& NL- 07 -1 o z -0 ; Espiratibn 11a0:12AG12 Approval Date: 1=/07 • •. . . . . Page 107 . . . ... . .. . . . . . . . . . . . .. .. . . . .. .• ... . . . ... . . , I ROOFING ASSEMBLY APPROVAL Ca Roofing Sub- Category: Low Profile Roofing Tiles Material• Concrete 1. SCOPE This renews a system using Monier Lifetile Vanguard Roll Concrete Roof Tile, as manufactured Monier Lifetile LLC in Pompano Beach, FL. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant . Dimensions Snecificatiom Description Monier Lifetile LLC 1= 16 -1/2" TAS 112 Low profile, interlocking, high pressure- Vanguard Roll Tile w. =13" extruded concrete roof tile equipped with one V2" thick nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Trim Pieces 1= varies TAS 112 Accessory trim, concrete roof pieces for use w = varies at hips, rakes, ridges and valley terminations. varying thickness Manufactured for each the profile. 2.1 SUBMITTED EVIDENCE: Test Agency Test Identifier Test NamelReport Date Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix III PA 102 & PA 102(A) Rand Technologies . 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix 11 PA 108 (Nail-0n) Redland Technologies PO402 Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails The Center for Applied 944)6013 Static Uplift Testing March, 1994 ` Engineering, Inc. PA 101 (Adhesive Set) The Center for Applied 94-084 Static Uplift Testing May 1994 F.ngineeft.fng. , • ; ; ;.. ... PA 101 (Mortar Set) Redland,Tecltglogio ; ;. .40631 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) .. .. . ... .. .. • 0 ' ' ' ' NOA No.: 07. 1023.07 o • • • • • Expiration Date: 12/16/12 r Approval Date: 12/20/07 ... ... Page 2 of 7 . . . . . . . . . . . . ... . V 0 : ... Test Asencv Test Identifier Test Name/Report Date Redland Technologies Letter Dated Aug. 1, Wind Tunnel Testing Aug. 1994 1994 PA 108 (Nail -On) The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC 76❑ PA 100 The Center for Applied 25- 7183 -1 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik Drive Screws, Direct . Deck) The Center for Applied 25- 7183 -2 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Qtuk Drive Screws, Battens) The Center for Applied 25- 7214 -2 Static Uplift Testing March, 1995 Engineering, Inc. 25- 7214 -6 PA 102 (1 Quik Drive Screw, Direct Deck) (1 Quik Drive Screw, Battens) Celotex Corporation 528454 -2 -1 Static Uplift Testing Sep. 1998 Testing Services 520109 -2 PA 101 Dec. 1998 Walker Engineering, Inc. Calculations Aerodynamic Multiplier August 2007 Walker Engineering, Inc. Evaluation Calculations 25 -7183 March 1995 Walker Engineering, Inc. Evaluation Calculations 25 -7094 February 1996 Walker Engineering, Inc. Evaluation Calculations 25 -7496 April 1996 Walker Engineering, Inc. Evaluation Calculations 25 -7584 December 25-7804b-8 1996 25-7804-4 & 5 25- 7848-6 Walker Engineering, Inc. Evaluation Calculations Aerodynamic Multipliers October 2007 Walker Engineering, Inc. Evaluation Calculations Two Patty Adhesive Set System April 1999 Nutting Engineering TAS -112 13343.1 June 2007 6 •• ••• • • • • • •• •• ••• •• • • • •• • .... NaA io.: WCI © Expirabon Daft: I.V16/22 Approval Date:12J20X7 ... o • • .Pagi3gf7 • • •• •• • • • •• •• 3.' LINUTATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be pw forn ed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30190 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the undcrlayment material manufacturers published literaU:re. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Monier Lifetile Vanguard Roll Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w ) The Profile Welght W (lbt) Length -1(it) Width -w (it) Monier Lifetile Vanguard Roll 9.2 1.38 1.08 Tile Table 2: Aerod emle Multipliers - k Tile I ( x Profile Batten Application Direct Deck Application Monier Llfedle Van uard Roll The 02M 0.289 Table 3: Restorin g Moments due to Gravity - M ft I Tile 2 ":12" W-12" 4":12" 5 ":12" 6 ":12" 7 0 :12" or Profile 9 rester Monier Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Lifetile Deck Deck Deck Deck Deck Deck Vanguard 5.30 6.03 524 5.97 5.16 5.87 5.05 5.75 4.92 5.60 1 4.78 5.44 RoH Tile .. . . . . . ... . . •• • • • •• ••• •• • • • •• • ••• • • •• • • • • • • • • • • • • • • • • • • • NOA No.: 07. 1023.07 • . . • • 0 1 Expiration Date: 12116/12 Approval Date: 12=07 • ••• ••• Page 4of7 . • . • . . . . . . •. .. . . . .. .. . . . ... . . . ... Table 4: Attachment Resistance Expressed as a Moment - Mf (ft Ibf) for Nall -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15132" (min. 19132" plywood) plywood) Monier Lifetile 2 -10d Ring Shank Nails 27.8 37.4 28.8 Vanguard Roll 1.10d Smooth or Screw 8.8 11.8 4.1 nie Shank Nail 2 -10d Smooth or Screw 18.4 21.9 7.1 Shank Nails 1 #8 Screw 25.8 25.8 2 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw 24.3 24.3 24.2 Shank Nail Field Cli 1.10d Smooth or Screw 19.0 19.0 22.1 Shank Nall Eave CI 2 -10d Smooth or Screw 35.5 35.5 34.8 Shank Nails Field Cli 2 -10d Smooth or Screw 31.9 31.9 32.2 Shank Nails Eave Cli Table 6: Attachment Resistance Expressed as -a Moment M (ft Ibf) for Two Patty Adhesive Sect Systems Tile Tile Application Minimum Attachment Profile Resistance Monier L'rfetile Vanguard Roll Tile Adhesive 26.1 I See manufactures compo app roval for Installation requirements. 2 Flexible Products Company TileSond Average weight per patty 11.4 grams. Pa dam Product, Inc. Averse weight p er patty 8 grams. Table 7: Attachment Resistance' Expressed as a Moment - M (ft Ibf) for Single Patty Adhesive Set Svstems Tile Tile Application Minimum Attachment Profile Resistance Monier Lifetile Vanguard Polyfoarn PolyP 86.61 Roll Tile Polyf Pol ProTM 45. 3 Larne paddy placement of 54drams of PolyPr6m. 5 Medium paddy placement of 24grams of Poi ProTm. . .• • . . . ••• • s ee 0 * 0 0:0 0 00 s e e 'NQA tip.:�1123. • • Expir�o>tDate:IWI f Approval Date:12r2W ... . � �.efte5Qf7 . . . . • • . . . . . . . • . .•. . . . ... • • Table 8: Attachment Resistance Expressed as a Moment - M (ft Ibf) for Mortar Set Systems Tile Tile Attachment Profile Application Resistance Monier LlfeNie Vanguard Roll Tile Mortar Set 20.60 S. LABELING All tiles shall bear the imprint or identifiable marldng of the manufacturWs name or logo as shown below, or following statement: "Miami -Dade County Product Control Approved ". VANGUARD ROLL MoNzRLmmTILE LIA VANGumm ROLL. TmE IDENTmcATxoN MARK (POMPANO, FL PLANT) LOCATED UNDERNEATH TILE 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following. 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system .. .. . ....... • ••• • • • • •• • •• • • • •• ••• •• • • • NOA No.: 07. 1023.07 • • .. . . . • • • • Expiration Date: 12116/12 { Approval Date: 12/20/07 . ... •. • Page 6 of 7 PROME DRAWING 11" 16 -1/2' ' 13" MONIER LIFE= VANGUARD ROLL CONCRETE ROOF Du END OF THIS ACCEPTANCE d ....... . .. .. . .......... . . . . . • . . .. ... .. . .... . 0 ' AM 11L d74023pT Espi u&ubate:12t16/12 Approval Date: 124M ..o • • . • ..Par7cj7 EP 1 4 IS Miami Shores VIIF, APPROVED BY DATE ZONING DEPT • •Y �, •�• � ��. BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FED"RAL w STATE AND COUNTY RULES ; 01, - • • • i n� •• • • •• •: 0 0 000 0 0 0 000 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 124502 Permit Number: RF -9 -09 - Scheduled Inspection Date: October 09, 2009 Permit Type: Roof Inspector: Bruhn, Norman Inspection Type: Final Roof Owner: KLEIN, LESLIE Work Classification: Repair Roof Job Address: 534 NE 94 Street Miami Shores, FL Phone Number (305)876 -7514 Parcel Number 1132060140950 Project: <NONE> Contractor: QUALITY ROOFING CONTRACTORS INC Phone: 305 - 751 -0382 Building Department Comments REPAIR FRON OVERHANG OF TILE ROOF. WILL REPLACE ROTTED WOOD Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 08, 2009 For Inspections please call: (305)762 -4949 Page 6 of 11