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RF-11-400TILE ROOF REPAIR Passecl s ,- 5---1;je Inspector Comments rt Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP - 156893 Permit Number: RF -3- 11-400 I Inspection Date: March 09, 2011 Inspector: Bruhn, Norman Owner: GRABLE, JANE Job Address: 1259 NE 97 Street Project: <NONE> Miami Shores, FL Contractor: MURPHY ROOFS Buildinca Department Comments March 10, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1132050090420 Phone: (305) 892 -1700 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 20 City: (4 JOB ADDRESS: il) L '9 7 3 — City: Miami Shores Is the Building Historically Designated: Yes Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 State: Master Permit No. BY: MAR 0 7 nil Permit No. ^ Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): cJ,4A E G 1 Liz Phone #: 3o C "15 Ce c D 3 Address: /d /f L c% 7 ,S Zip: 3 3 ( Tenant/Lessee Name: Phone #: Email: County: Miami Dade Zip: Folio/Parcel #: NO Flood Zone: CONTRACTOR: Company Name: IL;� �;;'� `"''� Phone #: 0 47 V Address: t O 5 0 3 Q City: S G Y. � State: Zip: �2 Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: --.7. S C'1�l J ^� Contact Phone #: �� ,5:) S 1 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Addition DAlteration New ❑Repair/Replace Description of Work: , - - . ❑Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /00 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 / :=k-C- Owner or Agent The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this day of , 20 11 , by N`(L-- Cort-A - )l(- , day of , 20 , by who is personally known to me or who has produced. (j) who is personally known to me or who has produced As identification and who did takcoututhi,,, as identification and who did take an oath. NOTARY PUBLIC: , NN Wnis Si p e % , , , NOTARY PUBLIC• D3/06/2072) . \9 Sign: — // . . - Sign: Print: = , p® lon i C Print: ' . My Commission Expires: › ''�R ° ®'''•••.. ° ' ®Q. :' My Commission Expires: ,� ' „ ° F L®9 • \ `\\ o (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) * * ***** ** * * * * * * * * * * * *** * * ** ** ** ** * * * * * * * * * * * *:��:****�r: ********** * * * * * **** * * * * * * * * * * * * * ****�: ,f f#t�tls ** APPROVED BY 4 ,f71/ Plans Examiner Zoning Structural Review Clerk IIVEV2011 13; 49 9417464138 DA1 iftc CERTIFICATE OF LIABILITY INSU 2 /23/2011 THIS CERTIFICATE IS I$$UED A$ A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI;1CATE HOIAER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE MOLDER. WAIVED, IMPORTANT: E the artlfvele holder Is en ADO1TIONAL INSURED, the ) a fiend 9df SUBROGATION does 15 confer Vito t the terns and eondMens of the *ley, certain pandas may rewire to the eiVfIaate fielder M lieu of such endorcemelf ) PRODUCSR Michael Goo Ina 6Z3 39th St. Went crazit 4 Bradlantaf, FL 34205 msIRED MURPHY NOM, INC m _EWER 0: 10903 NE STE COURT 1 Man ; BISCAYNNE PARK, FL 33163 I a (305) 892 -1700 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. WITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS, Ed TYPE OF 4NSUAAFtCri .• { t ti■ �'`..•, , 1 ACOFtD25(2010105) CER TE HOLDER CITY OF MIAMI BLDG. CODE COMPLIANCE OFFICE 140 WEST FLAGXER STREET MIAMI, FL 33130 FAX8(305)375 -2558 DESCRIPTION OF OPERATIONS / LOCATIONS r VEHICLES (Mall ACORD 1C1. Marne Relish Relledvle, jf mem 5 la mgiU d MIKEGEEINC SEIPELIN PAGE 01/01 CBAEL E (941) 746 -1892 .ins@vecixon.net INSURER A: SOUTHERN EAGLE INSURANCE CO AUTHORIZED REPRB$E$rATIVE EACH . - + OCCURRENCE U 01111 paleonl MED8XP PERSONAL& Am/INJURY GENERAL AGGREGATE PRODUCTS • =mop AGO E.L. DISEASE • POLICY LIMIT INIAte (941) 746 -4139 8 $ 500 000 CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1988 -2010 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are registered males of ACORD PERMIT # Created on June 2009 ADDRESS: 9 Lr 9 COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: �N FOLIO NUMBER: ll '4 — CL/ 71 — Ott E BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: 6 floc u TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): /( 0 0 . 0 VALUE OF PRINCIPAL. STRUCTURE (attach appraisal): it • 0 ( ) C TIE MAR 0 7 1011 OWNERS SIGNATURE: 11 q--4 DATE: PLANREVIEWER: 1(0ot oft 424'/ e PLAN REVIEWER SIGNATURE: DATE: j2'-�/ ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool ti ROOF ASSEMBUES AND ROOFTOP STRUCTURES Ser_tion A (General Informafig ATE AND COUNTY RU Master Permit No. Process No. Contractor's Name Job Address 0 Prescriptive BUR -RAS 150 ROOF TYPE 0 New Roof 0 Reroofing 0 Recovering ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) FLORIDA BUILDING CODE — BUILDING APPROVED ZONING DEPT rL M h r ViTI o es age eI� BV Florida Building Code Edition , h9G DEPT J'"7r 7/ High - Velocity Hurricane Zone Uniform Permit ApplicatiO1f4.1FINTXTO COMPLIANCE WITH ALL FEDERAL q 1c 1-.5.." e k.4 p.- /.2.M 9 r O Low Slope 0 Mechanically Fastened 111 _ 0 Mortar /Adhesive Set Tile O Asphaltic 0 Metal Panel /Shingles . < akes Shingles I�JI y Section R (Roof plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains scuppers, �a i olow d ns. + �' rs Include dimensions of sections and levels, clearly identify dimensions overflows nsions of elevated pressure zones and location of parapets. P f 1 NO REGUI ATIONS Fie Th' I MAR 0 DATE 1. SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction 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 e 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 Section R4403. (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 u ' (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 to be performed. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can sewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appe- rance. 5. Ponding water: The current roof system and /or deck of the building may not drain well and may + s- water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the on inal roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not o edoaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in acco • nce with the requirements of Sections R4402, R4403 and R4413. 7. A Ventilation: Most roof structures should have some ability to vent natural airflow through the inters • r of the structure assembly (the building itself). The existing amount of attic ventilation shall not be re ced. It may be beneficial to consider additional venting which can result in extending the service life of the wner /Agent's Signature Date Con Revised on 7/9/2009 LD Roof System Manufacturer: Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: P2: P3: Maximum Design Pressure (From the Product Approval Specific System): ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Roof Slope: Ole : 121 \ Deck Type: L Ridge Ventilation? _— L __ l Mean Roof Height: ( Stepp slnped Roof system Dpsrription Type Underlayment: Insulation: Fire Barrier: 1 Fastener Type & Spacing: ( �, J Adhesive Type: [ Type Cap Sheet: (2 i Roof Covering: Lei "L ..4, `J , Type & Size Drip Edge: FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section II (Stepp Slop Pd Roof Syctpm)