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92 NE 95 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE (/ 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Date i 0 Job Address q / 6 N451 Tax Folio Legal Description ( Historically Designated: Yes P • � (� No (0--03 caner/ ssee/Tenet �i-V d �' �7 � zo A-�� ' Master Permit # �/ I ) Owner's Address `7 /w / Phone 3 S • 7 t / Contracting Co. 1 k7 _oc..) c, 6 / A) C' Qualifier State # ' • 1 / / L� Municipal # Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON TIIE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL Roo NG WORK DESCRIPTION: £ 0 it L .. / S (>A..) L. /Z2d >f - /2%/2 ,e0., &C 17 Square Ft. Lxii GU" 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. d' Signature of % er and/or Con.o resident vner and/or C ssi n Expires FEES: PERMIT (D et/ Date Address 7� // .6 f SS# _ ' Phone G'S , /3 / grf7L Estimated Cost (value) -PcS 6 ture of Contracto r Owner B ilder A Date ''' Au\:)b-Vitire , t?. J - ' of asso Contr t r ®: er uilder ` otary c,�t ?. y�,tt 8 Date My Commission E l nr . NOTARY ^' I OK) Ins. Co. BOND APPROVED: TOTAL DUE V, i) 0 Zoning Buildin - -� , Electrical Mechanical Plumbing Structural Engineer Ft I Ft. 1 ,8 Dtck ROOF F -v 1. . D57.8. .1DSTS rS F2s'..t c; T ypc DETAIL 1 *..r •r-ce t:dcs 1tor;.-r icd c $ct Ze rill? ('S i •• (=f� t c- r e g C R.°a zi.,� T cat ( ) - -) z ROOF: , 8 , 1 1 1 1 C - __- 1 , t ' 8 1 I t t ' 1 1 1 +, , ' 1 1 r 1 : I: 1 \ , • . 1 10, 1 1 1 . 1 1 , . . e-.. , 1 • 1 1 A. I : 1 t , • , 1 ' ; 1 , , , 1 , 1 1 1 1 1 I, 1 ,,, I 1 t _ 1 1 I 1 1 ✓ 1 1 1 1 ' t 1 1 1 1: ' 1 1• ' 1 1 ,, 1 1 f 1 / 1 l t 1 1 1 1 1 ' 1 ' 1 ' r , 1 • , I 1 I , 1 , 1 { �., �J 1 1 1 1 1 1 1 1 1 1 1' 1 1 1 a 1 ' 1 :is 1 ' ' I , ' 1 '' ' ' ,.; t ' 1 t , 1 1 C�nc: 1 / t , 1 i 1 , , , ',', 1 r ' I __- 1 1 i 1 t 1 1 , I 1 1 I---------- ------ - -- - - - - --' 1 : 1 ' ' ' , _ _ _ _ _ _ _ - - t 1 p ner's7 gent's S ;nature Signat 4e 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 owner'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 rt of the agreement between the owner and the contractor. 2. Retailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be ren iled in accordance with the current provisions of Chapter 29 of the SFBC. (The'roof deck is usually cealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neioring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing tractor 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 • - 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 ion 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 til,4he 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 over aded 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 •ers in accordance with Chapter 23 of the SFBC. structures should have some ability �►t 7. Ventilation: Most roof to vent natural airflow through the ter or of the structural assembly (the building itself). The existing amount of attic ventilation shalt not be r • uced. It may be beneficial to consider additional venting which can result in extending the service lif f the r•_f. Date Contractor's Signature l Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/25/2002 Applicant: DOUGLAS Owner: ROMANIK Contractor DALEY ROOFING INC Local Phone: (305)754 - 9892 Parcel # 1132060130450 Job Address: 92 NE 95 ST Fees: FEE2002 -1700 FEE2002 -1701 FEE2002 -1702 Permit Status: Approved fee is $50.00, This Permit is g, ordinances pertain and approved by t1 authorization. A fl ordinances and ref by his agents, sen Signed �/ �j In consideration 8 t+ with the plans, dry myself, my agent, Signed: _ $ ACH FI/T 083100277 FOR Building Permit Permit Number: BP2002 -605 ROMANIK DOUGLAS Address: 78 NE 106 ST Cellular: Page 1 of 1 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 Fe$60.00 CCF $0.60 Notary Fee $5.00 Total Fees: $65.60 Permit Expiration: 9/21/2002 Construction Value: $860.00 Work: REPAIR 2 LEAKS ON TILE ROOF APPROXIMATELY 80 TILE C--(5 S 4 ''a / ' e - TT ' f' w, 4 Co l'r I rc� If there is no normit oackaae accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection r Look for: blue background on the front of this chock, :red the imagnSafe® logo on hark. If not present, do not rash. DALEY ROOFING, INC. 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305-754-9892 BankofAmeric I�. 1100 3136011 1:0 6 3nnnn t. 71! Total Fees: $65.60 Total Receipts: $0.00 DATE (2/a: 6 PAY _ C , ,, � _ / TO THE V J'� /� �'`�(� i � t J n ORDER OF �/ (/L(J /CX . 2- 0 7 , DOLLA - 8 rl 1.CCIt' ]1 5z_oaonntrttm�iiA� 'n�&�r_,r -` .mr��lr3.[p 3860 :d to 63 -4/630 FL 1035 1 all the •k done formity ter B4. MAP AND PANEL NUMBER B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S), (Zone AO, use depth of flooding) 0 0 .9 3 T 3- Z. -- sg ?G -- BUILDING OWNER'S NAME ' A4 4N / /C 4 0 do s w. evad /WAY . BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY (A f. 1 � H � STATE Fr___- Fr___- l 33/ 3 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Patel Number, Legal Description, etc.) 14 4.44 w✓ srI/�c - /-ar2 8cocC. -I- P. . /e2 PG. 7 BUILDING USE (e.g., Residential, Non - residential, Addit Accessory, etc. U Comments section 'I f necessary.) /Z sioCNT/sk 1— LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( ##° - ##' - ##.##" or #4.#4i://41e) L1 NAD 1927 L1 NAD 1983 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER / 2 0 6 5 Z- -- A4/ rt /tit / -cm OI .ES B2. COUNTY NAME A4 l i4 ,44 / — PAD B3. STATE 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1 I FIS Profile FIRM IJ Community Determined 1J Other (Describe): BI 1. Indicate the elevation datum used for the BFE in B9:1?4NGVD'1929 1I NAVD 1988 1J Other (Describe): B12. Is the building located in a Coastal_ Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1J Yes ) No Designation Date: CERTIFIER'S NAME la. r 33, r TITLE ADDRESS SIGNATURE FEMA Form 81 -31, AU 99 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION SOURCE: l_l GPS (Type): LI USGS Quad Map 1_1 Other: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Does the elevation reference mark used appear on the FIRM? ❑ a) Top of bottom floor (including basement or enclosure) 1 1 -.6,$ ft.(m) O b) Top of next higher floor / Z,.ZS'ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) ^� ft.(m) O d) Attached garage (top of slab) /d, . 3 ft.(m) O e) Lowest elevation of machinery and /or equipment servicing the building /D..-5 ton) O f) Lowest adjacent grade (LAG) /o, © ft.(m) O g) Highest adjacent grade (HAG) ie. ft.(m) O h) No. of permanent openings (flood vents) within 1 ft. above adjacent rade N , O i) Total area of all permanent openings (flood vents) in C3h .` COMPANY NAME sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION LICENSE NUMBER x/29 DATE CP �� ©/ TELEPHONE O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: Policy Number Company NAIC Number ZIP CODE C1. Building elevations are based on: 1_1Construction Drawings* 1JBuilding Under Construction* inished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number ! (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Alf -41-5E- 1J Yes JtNo This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CITY STATE ZIP CODE SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING TR�EET ADDSE,SS (�cludjng5 ., Unit, S e, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number CITY /1 (� . Z STATE � 3 1 ZIP Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) COMMENTS SIGNATURE COMMENTS G4. PERMIT NUMBER COMMENTS Copy both sides of this Elevation Certificate for (1) community official; (2) insurance agent/company, and (3) building owner. SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) . For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If rio diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is Li I ft.(m) LLin.(cm) L1 above or L1 below (check one) the highest adjacent grade. E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_LI ft.(m) I— LIin.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community'§ floodplain management ordinance? 1 -1 Yes 1_1N0 1 —I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SECTION G - COMMUNITY INFORMATION (OPTIONAL) ' The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. LI The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state orlocal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.'Ll A community official completed Section E fora building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3.1 I The following information (Items G4-G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED G7. This permit has been issued for LI New Construction LI Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: . ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE DATE TELEPHONE For Insurance Company Use: ■ 1 5� 1 -1 Check here if attachments 1 -1 Check here if attachments G6. DATE CERTIFICATE OF COMPLIANCEJOCCUPANCY ISSUED .1 Check here if attachments FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS APPLICATION FOR BUILDING PERMIT Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o. other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V-llag -, F orida, and all previsions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and all rules and regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d plans and specifications must be kept at building during progress of the work. Owner s Name and Address Registered Architect and 'or Engineer _ y p 7 Name and address of licensed contractor _4. _ 7 A ,C_ Location ^nd legal description of ? A to be built on: Lot__ __ _ ____ _ __ . Block __ _ _ _ __ _ ._ . _ Subdivision_. _ __ __ _ Street and Number where work is to be done_ 1_ _0 . _ 4/li'_ f State work to be done and purpose of building (by floors)______! MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Disapp - o ed _ _ Date ( Signed) Building nspecLor PLANNING BOARD Chairman _ _ Member Member _ _ _ Member Member _ _ _ __ M _ ber Coin Al Approved Da.e D sapp.oved Date_ / >Z No m _ Street__ and for no other purpose. New Building _ ___ ___ _ _ Remodeling . _ _ -. _ __._ .. Additinr. _ _ _ Repairs___) - _ __ _ No. of Stories __ _ . .. Roof C o v e r i n g O To be constructed of _ _ Kind of foundation Estimated Total cost of improvements $ ._ f ,3.9 7__ _ -. _ . _ _ _Amo c" Permit $ Zone cubage required ------------------------------- - _Plan Cubage Distance to next nearest building_ . _ __ . __ __ _ _ _ _Size of Building Lot____ _ Maximum live load to be . me 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 h 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 pr"vsions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint m the work to be p:rformed u der 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 et ploy only such subcontractors, on work °o be pe formed under the permit, - ' are licensed by Miai_ ' Sho es Village. Remarks-- (Signs= G? 'h�Gc2 194 STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary publi.., duly uthorized to administer oaths and take acknowledgments, personally ap- peared - to me well known, and who, being by mr fi.st duly swo:-n, upon oath deposes and says that he is the __ of he above descnbed constu tion tha, 'le has carefully read the oregoing p_-cat:on, and that he did sign the same, and that all facts therein b him sated are true Per it No. _ _ l O ' _ _ Date_ _ 1A -13'x'__ S _ _ Read, Sworn to and Subscribed before me. Notary Public, St: to of Florida My Commission Expires __ _ DATE _ _ Date NOTE: A charge of $1 00 will be made for making corrections or changes to this applcation after approval has been obtained from the Planning Board A r -i „_pe ' fec of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building T'• e • tf r i MIAMI SHORES VILLAGE, FLORIDA ° PERMIT NC' 7079 ❑ Work to be performed under this Permit Architect Contractor [ or Builder ' s - ^» ^ c Legal Lot Description r B1 DATE r ) 19�%i Contractors _/ License No. �' Subdi- vision Address of � Value of _ , . ,r.' ount of l� • Building �j _ ) l r� Project $ q- E Permit $ *, This ermit is p granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed- ` '- t�"""_" INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance i4.1 all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authoriNs of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ASOOT MIAMI SHORES IL AGE. JOB J1.A ADDRESS 1 ' \ INSPECTION TIME READY 1 -- REMARKS : INSPECTOR N° 7875 DATE r• MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin Inspection Request Date 0 D Time warms Type Insp'n Permit No Name Address Company Phone # 1 For Inspectors 13) 06 Name to a rt Approved 7 1 7 Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 b Time Type Insp'n Permit No Name Address Company Phone # I For Inspector;/ 13) °p Name to Approved 5 7 / 7 Correction ❑ Re- Insp'n Fee ❑