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37 NE 97 St (3)APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIO ?S As pertains to this Appendix "F it is the responsibility u t Lii roof-1111z ndiro tor to the ow ner te conttn this required roofing permit, to provide the owner +With this app 51•E3C govern all the minimum form. The provisions of Chapter 34 of the South Florida Qt►ildi►►: Code requirements and standards of the industry for roofing syst m in-s�a la ions. dditio ally. t le`folllowin in the should be addressed as part of the agreement between the a.,- it box indicates that the item has been explained. sn� I ' r akcathctics- �tiorkmanship: The workmanship pro wi th respect Chapter in►:ion purpose of 11 1. � { o ! � +•iding that the ruofin3 system meets the wind s `� to workmanship provisions. Aesthetic issues (appearance) issues are not a consideration P� t such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the nt between the owner and the contractor. renailed en:iiliita Wood IYee6�c: When replacing roofing, the existing Tl►t roof deck c usuall }! eo�ctal ac dprior to cordan ce with the current provisions of Chapter 29 of the SFBC. . ving the existing roof system) �, Common Roofs: Common roocs are those which li „► to de r ► ° °Fn twe tractor �ind�ur i '' 3• iniums, erg -)• In buildings with ing common �p+'s .(;i.r. townhouses, condom o■ ._should notify the occupants of adjacent units of roofing work to be perforated. the roof decking can be n , Exposed ceilings: Exposed• op` hbto,nta ittainsthe2architectural nappt:aa ►of t roofin_, nail d from below'. The owner may is penetrations of the underside of the decking ma. not bc acceptable. The SFBC provides the option of maintaining this a• pcarance. 11 tom.. 'distress and may require the review of a p' 40 ' i' S. I'ondino Water: The current roof system and/or deck roof. otpo the ►►dt,ld�ngb�n ind ,�icat►on o structural rwell an may late) in low-lying 'ing areas of ihe I►te 'use water to pond (accumulate) iofesSional structural engineer. Pondin may shorten the expectancy and performance of the ne +'. roofing spsrem. Fondin conditions may not be evident until the origin r-,. system is removed. Ponding conditions should bc corrected. cr now off so that the roof is not 4 rgl 6. Overflo+r Scuppers (wall outlets): It is required that rainwater a[ if overflow ►ild u of water. Perimeter /edge walls or other roof exte sion r may bloick disaccordac c � ! !:*! rloa scuppers from build (wall outlets) are not provided. It may b. i tcccssan• to install hapter 23 of the SF 7. , v st roof structures should have some ability to vent na tventilation air ow through reduced. interior It is structural lat i`lo t te assembly (the building edn tin, T hic'9► \ can i result c in cx di n `.: the service life of the roof. tncficial to consider additional „ S. The owner ma • contact the Miami -Dade County Consumer Services Dep :irttrtl.:nt for further iforntatioll r l the above. or Sign: rc Roof System Required Sections of the Permit pplication Form Atachments Required Se 7 List i elow Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 ,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay File A,B, ®,E 1.2.3.4.5,6,7 Metal Roofs A,�•,D 9,2,3,4,5,6," Wood Shingles and Shalles A,::,® 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 9 , or V,' Applicable, RAS 127 vi RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Re-Roofing Only) 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form ST R J C O I PAGE ATTACHMENTS REQ JlRED: COMPLETE. ME NECESSARY SECTMKS ©F HE UNFORM ROOFING PERMATi A?UUCATIIOM FORM AND ATTACH THE REQUDRED DOCUMENTS AS NOTED H 3ELLOoW: i - - - � ' - i- -- I 1 i T- t ' 1— 1 -- �.. - — i - - _r -�� -� i -_ I I - r 1I I .1 High Velocity Hurricane Zone Uniform Roofing Permi_ Application Form MIAMI -a-ADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section A (General Information) !.taster Permit No_ Process No. IM P - - - \511 Contractor's Narr.e: 6 7/ ._T i? c r� Roof Category I Low Slope Mechar.,cally Fawned Tde Mortar /Afire ive St• rde E M et al PaneUSh s r Wood Shlr.glesiSr.,,aes Asphaltic Shingles In;M' Prescriptive BUR -RAS 'Is:, (- Other I 1�5 Roof Type Job Address: ric Me... Root ,g Re Roofing r Recovering fl Repair r M. ntenance Are there Gas Vent Stazks k on the (col? r Yes Z No M yes. carat type? [ Natural LR X Roof System Information Low slope (Got area (R =� I Steep Sl •cd area Al 127o J Total (n.') I 2 2 U v Section B (Roof Plan) Sketch Root Plan: Illustrate all'r_vels and sections. roof drawls. scuppers. overticw scup; .ers and overflow drams Mcludt JiTer. -.ens of sections aril levels, c. early iun,fy c tiensions a elevated pressure zones and Inaitien nl parapets. Pe/imeler Width (a'): I Corner Size (a' n,. Page 2 I ca /// 39 N_ s1_ r High Velocity Hurricane Zone Uniform Roofing Permit Application Form 1 , MIAMI-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Ridge Vert!' N/A Roof System Manufactub.—: Notice of Acceptance Nu( oh Minimum Design Wind Prr-so t 6(' Pmax 1: - Pindx Maximum Design Wind Pri....7";': Method of 1 Attachment: Paddy Polyfoarn P(),v;)rr, Alt.irlrent Method: fbr octal Roof Panels Field r:rimeters: Corners: r Per.rnevrc cth I Section 0 (Steep Sloped Roof System) 3loperi System Description Deck Typed 578 PlYwood Page 4 Alternate-Deck Type: Underlayment type: [ASTM D 226 Type 11 430 Insulation/Fire Barrier Board: 17 Optional Nailahle Substrate: [N/A Fasteners: 11 1/4" Corrotin Resistant Cap Sheet Type/Adhesive Type: Roof Covering: lAltusa "S Tile Roof Covering Attachment Method: 1 Polyfoarn Drip Edge Size & Gauge •R' face 26 ga. Drip Edge Material Type [Galvinized Metal Drip Edge Fastener Type. 13"x3" 0/6 26 ga Hook Strip/Cleat ga or ..veignt: littp:/:\Nv:w.(:,).mH.rni-dade..11.us/bIcigh,,,,iltig_permitinWsection_d_3.11tml 3/7/2002 . 'd.MAR (USA) . ..._. . ,,,s, If Applicable (from RAS 127 or Calculations): P rnax 1.- .-- • ,- - , 3: (From the PCA S 66.5 pecific system): r High Velocity Hurricane Zone Uniform Roofing Permit Application Form 1 , MIAMI-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Ridge Vert!' N/A Roof System Manufactub.—: Notice of Acceptance Nu( oh Minimum Design Wind Prr-so t 6(' Pmax 1: - Pindx Maximum Design Wind Pri....7";': Method of 1 Attachment: Paddy Polyfoarn P(),v;)rr, Alt.irlrent Method: fbr octal Roof Panels Field r:rimeters: Corners: r Per.rnevrc cth I Section 0 (Steep Sloped Roof System) 3loperi System Description Deck Typed 578 PlYwood Page 4 Alternate-Deck Type: Underlayment type: [ASTM D 226 Type 11 430 Insulation/Fire Barrier Board: 17 Optional Nailahle Substrate: [N/A Fasteners: 11 1/4" Corrotin Resistant Cap Sheet Type/Adhesive Type: Roof Covering: lAltusa "S Tile Roof Covering Attachment Method: 1 Polyfoarn Drip Edge Size & Gauge •R' face 26 ga. Drip Edge Material Type [Galvinized Metal Drip Edge Fastener Type. 13"x3" 0/6 26 ga Hook Strip/Cleat ga or ..veignt: littp:/:\Nv:w.(:,).mH.rni-dade..11.us/bIcigh,,,,iltig_permitinWsection_d_3.11tml 3/7/2002 Mean -- Height in Feet 15' 20' 25' ~~~.~ 3[y - '-- 4O . 1 Roof Slope 1 1 1 1 � 1 2:12 307 33.4 35.7 37.7 407 I 3.12 ' 28.7 31.3 33.4 35.2 38.1 4:12 26.6 28.9 30.9 32.6 35.2 5:12 24.5 26.7 28.5 30.0 . 32.5 6:12 22.5 24.5 26.2 27 G 29 8 7:12 20.8 22.6 25.4 25.4 ■ 27.5 ,1 1 ^ I| High Velocity Hurricane Zonu Uniform Roofing Permit Application Form rdl|AAA|'OAOE COUNTY BUi/'D\NG DEPARTMENT ELECTRONIC. APPLICATION SecUonE (Tile Calculations) Mornent based tile syste o., chose either Method 1 or 2. Compare the vaues o, Mr with the values from (M. If the Mf values are greater than or equal to the Mr ,a|ues.foreuchaaaoftke 000f, then the tIe attachment rnethod is acceV�ab|e Method 1 ^yNumccii-1.?anedTile Calculations Per RAS 127^ P 1:147.6 xA [��� u / = Mr1� F` 6Q NOA F - 6] • P 2 AIO // = &Jr1: 122 21 NOA 65 P 3: FO 6 x A Mg: [� 35 = K8ht [ 2221 NOA Mf: H6 5 Method 2 ~ Sinn!Jied Tl|e Calculation Per Table Below" � pcgo Moment of Resistante (U:q From the Table Below: N1rRcqu/red Moment Resistance* 'l his Table must beused conjunction with a list of moment based tile :,ysterns endorsed by the Brov,i;rci county Board of Rules and Appeals. Page | U V �+jmj � u�/��d»/oo�| �(� n/ �� � h�u .q/T0.5 _ » � P� �,«`�/o�mx|rn/ �� c r , m��_pcou/ m�s�c 0D � NOA | K�c| Pu�� � u1| PROD 1 kic 6645 N\,1 FL ::166 Couv Ccc Coma: 07 This approv.il hot be valid after ft -- . , roduct or ivirial at anytime ;corn jOI this or material fails to perft)i the use of.. ch product or material irrilIV CieT:if'1 1.3C O that (hi s product ot n Code. The I such lestHs wiH c by d cc 99-1102.0- (Re‘ier, 97 Hros:12/16/200: - 799 ; ; C - . . F E?T \,CE .• \ E ;`..);•5 CJDCT COT0L DI \ IS Your okk, Hon ■Or." .-4/tirsa "S" (.11.i■ 6 of the Code Count: ust :k25) 375-2‘X.12 FA- has or the hcccia bow. 3CCO the righ', to ser or ina.nui. plant '.or aua. coritrol r.esting in the approvec..'. man,ner, BCCO m rtvoke, modif or sus 11teiy. BCC° reser the right to r:voke this appro 1. iC it Ha1 rails to met: :-..r!quirer: the South Floci,ta /l - / Boor 7 7 "1 F. COVE RS E ET, -■DtTIONAL ?AGES FOP, SP CO'D[TIC.. BUILDING PRODUCT 70\1v.7Tc'E [ Prod-,:ct DCC-0 17.d an CC.F7 1,19 a 20'. \ C. 1 nirod bv ,70 •.. ■ 1, 'OTICE i AK( 11.i(..1 DESCRIPTION Dimensions I = 13 '/:" w = 10" I= var :s = v.a.rics Dimensions . "Nt • a - .73f111:: \ Pt:! S a 2.:Der, as 2 des.:sne-c: c- Sou Honda f Cou,-.ty \\,:he7e. z_he orcssurc Oet:; by Sr-BC Caot:: :3, dc oi tfic cbt3in calculatior.s in corrolia_r.c...:: R_A.S .27 )0 iho valtys listed in sec:H;: arc2o7.2o caiculations c!on: based f High Test Product 5 Drip[ion P..=%. !2 (73nlponerits or pr n o' 2-, ca ccpics 3: r 1ds eak.ss, .. term tSt n 71. ":•^_". ti Fcr .7;271:C1 in s C! C Product . n as a - .a a77..772C 5.7 Fan k R.RC Piar:; apd Shi•Jd ' :r-,ar C30 x 73 rHi PA 103 ics( CnccIncptio n S PA 104 ACCPT -\\CE \. \F PL' D E n L T \ D Rn \ ■Th '.! rz•r as 3 ply m a dot.:: t ply 1n0:cl2yrn 3( s•.s:itm Sir.21t ...n;ttrlaymcnt Relf-adhc:ring undcrlayrne.nc ror - .:se as a :0. 0 ply in a 0,Y O.' ply sys:sm Approd as the bast. • s 77. scrt r nail. c --• 1 • 2902 :c — o: C_,) A •__ • :- _ Frznk Ro-oitn I 3. 1..1)IITATIONS i 30") \ ST .?\ LLA 1 DTI ( ( F • I Fac::m pr Sc ons Sff: PC - I ). :-.--. r- DeCO Dc c 5 ct roc, • -_-5, Tv c:c- scc az: - Sin21: :3aM "Jot tile aCh....:sy: Fir oar Foc- 5.t per :6. 2:_ (0 10 :fs:1ng shall be :o :De 53.:( i2ff. 2 '2 ADDLICatICI: : .C.) the roar 3 3 This S0,311 ch2oter 39 or s 7 A.In One Roo: - 1 - 11e 'T. S31_ COMHI2n.Cf. 1 : Fra.r.c g ) Inc • C !• 5:rIC . i; - I \C Ie Tile \OTICE OF -kc: To( ..,-- I e T f .— Tr 1 '. I 'v ' L''.._:h - s - - -.. Tile , '. h-,-') l /---' :I. ( f ,.,- I Pronle c.-- Apoltcatio n 71 "firect Deck :1.poll.:2:•1 0 --.: itle I C.L 0 2 ,/ Table 2: g Momen Cue lo Gr4vit M (f 3 :1 2 5":12" 6":1 7":12" 1 Proli '.=. I or less ._ .. ----- ----- ' -- ---.,-•---------.., . .._ . c or - : •:),e , _--, ,, ":71' Szitt Dire.c . 1 2 ....r. -- .A uire.=A .7...4ar,ens Cisre-c - : - .: - . , ?., - ).s D 8a:',.t: , ......-_-::: ilif, 1 Deck C__ k rif:ck Deck 4 47 I 5 115 27 I 4 31 i 5.16 i --- 20 ___ . ±4° 5 i -.- :-... 1 5 0 4 C 3 _ Table 3: Art.achrnon, Expressed as a M.:Dr - M, (ft-lbf) for Nail-On Systems Fastener Type Direct C'eck 1 Deck S 2-10c : 1-13KJ ccb cr 2-10c Scc :r Sank Naiis (min 157:2" plywood) I i z8 Sere., T5 i . 2 ,t Screws ; 58 2 z 4- -. ,.. 1-10d 1 c, ,_• :_s N23 1 SmO0ih Or 1 5 ,Nail i'..-. C_;;...; 2-10d Smooch or . ." - Sc... , I 27 Shank Nails (1- C3c;:, I 2-10d 5( C;1 or _ ... _ „..- ----. , -: : 2;,' . - .. J.:, , .are c-.-L. ; - ^,r• :; _ C T "CE o. e rn 5 5 T D JCNTH35 2" y .:. 7 T : ; RRC cory4-DI Asi_ INC, -;ClTF 6 ft; 3 . _ NOTICL (7) F _ Table 4. - Y.isistance Lxpressec as a Yorrie •‘:-ibf Application , Mr(1 - 1 esis*anc 293 Th r fc u xes ,r1-5:a(la()ati P Compar.y -2 Product. Inc Avtrace , Dat':■/ 3 grans. Table 4A: Attachi r:r.:Stance Expresset as a Momen: - M. (ft for `.-iiiii,,le Party Adhesive Se* Sysems rile Tile Application Minimum Atitachrnen: Profile P,5-8.4 sta 0 c e ------...,_ . _ 01-,..2 ii '3 Tile Poly: PolyPro' _ 1 F , fc.8:1 P so.!./ Pc . 7.- - -3ocy ; of 7_:::',4: rn Daddy cflacme nt - .:)i -,•-:-.,..' - =.1 i Table 4E3: A'...12,:i_ii F.esis'..ance F_ as 2 - - Y. f--.-r-f for Mor*.2r Set i' vs*e Tile i Ile i At 1 Profile 1 Aoolicaticn Resistarice Cnc Piier_isi '3' Tile !,,torr R-er ; - • ;-i 3. LABELING :is shall bear - DC C.:Y.: or lo cwing stater.A.,L-Tic: Courity 6. Pv).1. 6.1.1 This 6.1.2 Any or ';:f Sc cra rnic RC R3onr.; • i .• • F. D C \. C P.00F nF A 3povc.d the s(a:i in thc _ - • (r±lrouz-; - ‘,/ I d • • 3: :He.7:CT. • • :C• A 's F - (h H.. :2..o- ' z : tha7 or Accz-D(ar,c,.. (`;',e ruc a;L: prn,i(Jor • r is no or;gr,-,a!ly Aczep;T:nc: ;-t..:.uircmcr,L5 of :_! d•.".!•c:um! `. is no Ionr - 7 ) o: :he shaH s - :,her of - . (he Y, T--113 C C FY - -; X Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/12/2002 Applicant: PAUL Owner: CALLI JOF ®®MESS: 37 KIE 97 Parcel # 1132060130980 Permit Status: Approved Permit Expiration: 5/5/2003 Work: ROOF ADDITION AND REROOF EXISITNG ROOF Signed: Signed:c = —�j (INSPECTOR) (Contractor or Builder) ui6ding Permit permit Number: IBP2OO2 1932 CALLI PAUL ST Contractor ALL IN ONE PROPERTY SERVICES INC Contractor's Address: 14040 NW 6 CT Local Phone: 305 - 688 - 9550 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 7 LOT SIZE 100.000 Fees: Description Amount FEE2002 - 6377 Building Fee $202.50 Total Fees: $202.50 Total Fees: $202.50 Total Receipts: $0.00 Construction Value: $11,000.00 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 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. 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. BY: BY: r<EG C01 111302 1244 NC#01 002728 MIKE E 5202. 50 CONTRACTOR New Construction Name A11 1m Owe Pp.° pEpAci elk 0 j License No. Re_ m 50 Alteration Exterior Address � , ILogC NLL N • Cr) i Cyr► l ''1 331e) i J`i 1 e alJ i^ Telephone (m) -Q (41 Fax ( ) 6 .i C C o l Qualifier Name GOO IE - 151 D2C Demolish PROPERTY OWNER New Construction Name ON g A ,s elk 0 j Address 39 NE_ c15r Alteration Exterior Home Telephone ( i J`i 1 e alJ i^ Business Telephone (s) Alteration Interior Fax ( a).) Demolish TYPE OF MANAGEMENT (/ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only (Foundation Only Add'l Attachment Other Add'l Detachment Other 1 1 `'..._ 1 l (t R i,.,,,Q ... ,,.... .:L3Itl»1311` -..,, ;.. ` .': 1 I C. .'_t 'L'. 1 77 INSTRUCTIONS - The follow wing steps must be taken tp obtain a permit from the Dhami bores Vllla�c: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address /� (( Folio Number 1 1 32. 2013CC &V Lot "5 Block 1 Proposed Use of Property gQ.,5 l (5 ICS I Tenant Information PERMIT TYPE ( ) Building Electrical Mechanical Plumbing LPCX Roofing ]Fence Other Apt. PERMIT CHANGE ( ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. e P LOO 2. -151 Subsidiary Permit No. IOWA ./ IC\rni y1 City State Description of Work (-00C- add i con. cloc aco4 . PERMIT APPLICATION Ord Zip Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet I Units Floors Value of Work 1)10100 co Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGIINEER Name License No. Address Telephone Fax Page 2 1 \1I'OR"1'AN "I' ti0 "I'ICI ;S DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. A F1" I UA1'IT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owner GClr Print Name Sworn to and subscribed before me this day of e 4 %, Cristina Hue * * My Commission CC896667 %.,„/ Ex fires Decembef�9.2003 Signature of Notary Public - State �f �`� SEAL: SEAL: PERMIT APPLICATION STATE OF FLOR Signature of Contractor / Qua!' Print Name Sworn to and subscribed before me this day of er" tarlutMe Fhle 4 ** My Commission t7 '(N A Expires ber 19, 20001 Signature of Notary Public - State of Fion Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: ELEC'T'RICAL T1'1'E. Minimum Fee QTY. TYPE Dryer QTY. l.. Tl'PE Outlet, Appliance ,, _ Q'I'1'. .. 'I VI'I' Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Dryer Vents, Number of Service, Temporary Ventilation, Cost A/C Central 4 -7 Ton Air Handler, Tons Fire Pump Piping, Flammable Liquid Outlet, Switch Signs Fire Sprinkler System A/C Central 8 -15 Ton Fixture - Fluorescent Bath Fan - Vented, # Oven Pressure Vessel Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low-volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low-volt, Fire Renew - Temp Service Roof Inlet Demolition Low-volt, Intercom/Teleph. Repair Circuits Septic Connection Dishwasher Low-volt, Television Service, Number of Amps Septic Tank MECHANICAL . PI ,, Minimum Fee Q . I\ ,. .1.yI,I,, Condensate Drain QTY. .L},I,I,, Generator QT y. . I , I ,, Refrigeration, Tons Q , A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY". TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY'. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous ]Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) _____CL2112_,alv 6\k jViva ( x .60) x/1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERN11"1' FEES TOTAL $ r D a �� ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 41-45 Passed 71 -75 Passed 91 -95 6 -10 Passed 26 -30 Passed 46 -55 Passed 76 -80 96 -100 11 -15 Passed 31 -35 Passed 56 -60 Passed 81 -85 101 -110 16 -20 Passed 36-40 Passed 65 -70 Passed 86 -90 111 -200 c Ming ineering & { . sulting, Inc. PROPERTY ADDRESS: ROOFING SQUARES: TILE TYPE: CONTACT PERSON: nt: Dioital Chatillon DFIS 200 THIS ROOF HAS PASSED: Voice: (786) 331 -8565 OWNER: Calli CONTRACTOR: Oroni Construction 60 61 62 37 NE 97 St. 70 71 63 72 68 64 67 73 65 66 Lab Report No. 03- 020015 uillding Solutions For The Construction l[nndustr-y 5220 NW 72nd Avenue, Bay 8A, Miami FL 33166 Certificate No.02- 0501.06 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE "1'O COMPLY WITH METRO -DADE COUNTY PROTOCOL PA -106 FAILED fl THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADS COUNTY PA106. 51 50 49 48 47 46 56 57 ' 44 55 54 53 69 43 6 Test Tabulation "ROOF SKETCH" 59 58 45 16 17 15 14 20 10 11 5 18 19 Front 39 40 42 41 1 21 12 PERMIT No: 2002 - 932 PCA No: ROOF PITCH: 3:12 INSPECTION DATE: TEST DATE: 2/07/03 JOB NUMBER: 38 32 30 37 3 33 29 34 28 23 36 22 35 �24 25 26 31 27 Required Testing Force: 35 Ibs North FloridaTec.net Fax: 1- 866 - 333 -6988 Mama Shores iUUage 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/20/2003 Applicant: JOSEPH Owner: FITZGERALD JOB ADDRESS: 261 IBC 97 Contractor Local Phone: Parcel # 1132060134270 This Permit is granted to the contractor or builder named above t ordinances pertaining thereto and with the underst and approved by the proper municipal authorities. authorization. A further condition upon which this F ordinances and regulations pertaining to the work c by his agents, servants or employees. Signed: Signed: In consideration of the issuance to me of this pern with the plans, drawings, statements or specificatior myself, my agent, servants or employes. PH F. FITZG ALE) KENNETH G. RAU 261 NE 97 STREET MIAMI SHORES, FL 33138 Pay to t Bank of A ACH Ft/T 0631002 A ferno building Permit Permit Number: FITZGERALD JOSEPH ST Contractor's Address: up P2003 -438 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & W1/2 OF LOT 20 BLK 31 LOT SIZE Fees: FEE2003 -1645 FEE2003 -1646 FEE2003 -1647 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/14/2003 Construction Value: $300.00 Work: tile repair 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. Bank of Arnerica Advantage* tP2Up s 09 -00 Date Page 1 of 1 63- 27/63 FL 988 Dollars 1541 W ale. al Yell compliance with all been submitted to inged without h knowledge of the nsibility for work done d in strict conformity done by either The Sunshine State 8000- 507-51 436 KENNETH GARY RAU 261 NE 87 STREET MIAMI SHORES, FL 33188.3339 BUM EWE SEX HOT. REST. EADORSE. 09-1641 I4 6-11 ISM EXPIRES DUPLICATE 9Z-12-4243 99-92-49 SAFE °RIVER 201100780007 Opelabon cf o mate tec hiclo oonettr oorr000t to any oobricty tout rcquIi d by law. PROPERTY OWNE} 7 J/ . .07, r OS ep o.. Nam ' , E z� Address Home Telephone 3 0s ( r- / / / '1 -1 Business Telephone. 7 C (( 2" 1 4 Fax Demolish TYPE OF MANAGEMENT (/ ) New Construction Enclosure Alteration ]Exterior Repair Alteration IInterior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other ' I' Step 1. XJ ob Address: Address PERMIT TYPE ( ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • • ••• • • • • • • • • • ••o • • • ••• • • • • • • • • • • ••• • • • • .• • INS'1' RucTioNS - The following rlo _ ... L ' ng steps must he ta�keti obtain � a permit from the l�lianii Sho Village •• • • • ••• Complete the attached permit apphcation;w1ticl mpstpe :inid byittie property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more acctat: ptbcCsst Your applic'ajion. If roofing work will be done, a roofing application must be submit- ted along with this permit applicaddh. • • • • • :.• • • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. ,APPLICATION /I / S l d Apt. City State Zip Folio Number e cription of Work L -t / 2 1 f /t_ Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet 2 Units Floors Proposed Use of Property , }v alue of Work ( OC , Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PE MIT CHANGE ( ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • ••• PERMIT APPLICATION • • Mater Permit No. • • • • .'• • ub;idiary Permit No. • • • • • • • • ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 111POR'I'.1NT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR•VAILIDAN5 P341IT AitID CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are Whited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, AND SANITARY E�NDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE DIRtAI ID3)1 S. • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT f D MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • • • • • • • • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. A l ) \ ' 'IT - Please read carefully'. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. • • 7. STA • ignature o Print Name worn)o . d subscribed before me this (� i► azure of Pu c to of 2 C - day f SEAL: •OF FLI•' ., o wner UNTY OF I - D • a 4 . �....dbm— • • • • • ••. • • • • ••• • • • • • • • ••••••• SEAL: ••. • •. • • • • E // ,$SA OF FLORIDA, COUNTY OF MIAMI -DADE 1 jSi lure of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of orida Signature of Notary Public - State of Florida PERMIT APPLICATION Personally known OR, Produced Identification � Personally known OR, Produced Identification Type of Identification Produced: / gr-A0c -Sz5 _ /- 1A 1 "pe of Identification Produced: ELECTRICAL L 'FI T'E Minimum Fee QTY. nil:. Dryer •. • ; ; • • • • • Q1 y. • • 1 1'1'1: Outlet, Appliance QTY. TYPE Service Repair )Ty. A/C Central 1 -3 Ton Fan . ' • flatlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, ]Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, IIntercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New r � ECHAhICAL 1�I i I YI'I'. Minimum Fee QTY. 11 1'1. Condensate Drain I _ I , QTY. 11 1'f Generator QTY. 'Fyn: 1'1'. Refrigeration, Tons Q 11' A/C Central, Tons Cooling Tower Heating Strips, each Vent ood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon P LUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. f TYPE Miscellaneous Fixture QTY. T.F. 1 'rv1'li Soakage Pit Q1'1'. ]Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater ]Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • • •• `Ga - T1c S`.. I ifi771 —2= =I .I gat". ' . 1440 • • • • ••• • • • • • • • ,.• ••o • • • ••• • •• • • • • • • . • • • ••• • ••• PERMIT APPLICATION • INSTRUCTIONS: Please indicate the type of 1 aork••bding gel:fort fed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official Building 5‘.Z Page 4 OFFICE USE ONLY U OWNER - BUILDER FORM (Attach) U FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) U OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) $ b c7 • • • • • ••. • •.• • • • . • ••• • • • • • • • • • • . • • • • • • • • • CHECKLIST ❑ PROOF OF'OWNERSHIP • • • ❑ CONDO ASSOCIATION APPROVAL (Attach) .,(Attach) • . • • ... • . . • ❑ HRS / DERMAPPI @VAq ; ; Q BPR APPROVAL (Restaurants) (Septic / Sewer) • • • • • • • • • ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) I'I:RMI'l' FEES ( x .60 x/1000 ) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (4.01 /sq.ft.) Code Enforcement Fine $ Zoning Review Notary ••• • • ••• • • • • PERMIT APPLICATION ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ $ t ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com