865 NE 97 St (7)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statc,,,rnr ur ine plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address ., l
Registered Architect and /or Engineer
be sent to
STATE OF FLORIDA,
COUNTY OF DADE. ss'
-L 5
.,.... •! „tf.X!lNN,•tft,ttt, l•„`V„
Name and address of licensed contactor
Location and legal description of lot to be built on: // ��/
Lot Block - 7� Subdivision... .. .._ !>t-Cl...i....._.:11 i;?l�� /4/ ,
pp
Street and Number where work is to be done t1� _ ... ..c _ ! . 2 . _••`S __ .- ..• - - -- ••••- • - ._.—
State work to be done and purpose of building (by floors) _
.G "Lil..)....... .0 p .
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering CGGP.'.1,..5..NL(.4.L C L—
T) L '
[
Estimated Total cost of improvements $ l Ss Amount of Permit $.
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Honda \Vorkinen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Sop e lement,
and has complied swith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for ins ection on the site of the work such public notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subco itractors, on work to be performed under this
persnit, as are licensed by Miami Shores Village. "
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
V .
Permit No.._ d ` Date 1 7 Read, Sworn to and Subscribed before me.
Disapproved Date..
Notary Public, State of Florida
(Signed)
Building Inspector • My Commission Expires _
PLANNING BOARD DATE
Chairman Member —
M err,ber Member
Member .. ... _ ....._......_..._.— ...._....... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained (min
the P1 nni1.g Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
_ , . MIAMI SHORES VILLAGE
B ILDING DEPARTMENT
305- 795 -2204 /�
Bui ding Ins. - ► . • '' `N °^ t
Date
lye Insp'n
Permit No.
Name K d �
Address • 5GS 4\ IL — I [�
— 7
Company towa r€ I"
Phone #
Re- Insp'n Fee
v P y
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 `V
Building Inspection Request
g P 9
Date ;,— o S
Inspection Date
ti
Approved
Correction
Re- Insp'n Fee
Name 6 P A'
Address ftW5 4' 9
Company
Phone #
4,0 /m ,
t
Type Insp'n
Permit No.
• MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date •
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
67-1A7
`i ate q2
IVNe5'c
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 -795 -2204
Printed: 6/26/2003
Applicant: VICTOR
Owner:
JOB ADDRESS: 865 NE 97
Contractor KAWALEK, PAUL RICHARD
Local Phone: 786- 277 -9540
Permit Status:
Fees:
FEE2003 -3842
FEE2003 -3843
FEE2003 -3844
Work: REPAIR 2 LEAKS IN ROOF
Description
Building Permit Application Fee
Notary Fee
CCF
Total Fees:
Signed. (INSPECTOR)
Building Permit
Permit Number: BP20031020
GRIFFITH
VICTOR
ST
Contractor's Address: 485 N. E. 90
Parcel # 1132060142630 Legal Description: MIAMI SHORES SEC 3
Amount
$60.00
$5.00
$0.60
$65.60
Permit Expiration: 12/20/2003 Construction Value:
Page 1 of 1
PB 10 -37 LOT 21 BLK 73 LOT SIZE 50.000 X
Total Fees: $65.60 6 � �
Total Receipts: 10.00 �3
•4 (sG
AUG 1OPAID
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.
Signed: (Contractor or Builder) BY:
Master Pprmit No.
C ontractor's Name
Job Address
sus iva idl`Idlf -Code . ion
loci Hurricane Zone Uniform dit 24
m P ermit A..li Form.
Section A General
Process No
'I* 6
ROOF CATEGORY
0 Low Slope
0 Asphaltic Mechan ically Fastened
0 Mortar/Adhesive e
Shingles 0 Metal Panel /Shin Tile ❑Mort
gles t Tile
0 ❑ Wood Shingles /Sh akes_
P rescriptive BUR -RAS 150
ROOF TYPE
C New Roof
❑ Re- Roofing ❑ Recovering OQ Repair
ROOF SYSTEM INFOROATION
❑ Maintenance
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total 'F)
Section B Roof Plan
Sketch Roof Plan: Illustrate all levels and sections, roof drains, identify dimensions of elevated pressure zones and location of parapets.
scuppers and overflow drains. Include dimensions of sections scuppers, overflow
and, levels, cl
10
1 pp3
Inf ormatio n
A-rea c---
Repair3
(F& deD
1
6
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As:it pertains to this section, it is the responsibility of the roofing contractor to provide the owner witli
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 adjacen` :box indicates that the item has been
explained. •
1. 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) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should
be addressed as part of the agreement between the owner and the contractor.
VC' 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 Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
f/6 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.
U6 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 Florida Building Code provides the
option of maintaining this appearance.
e 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.
V6 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
Vt 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
C:IOOCVNI[ -Mo p LOCALS -ITT. 40 [CT IO% IS :4.d.a
LIL.) / 03 AU
Date Contractor's Signature
Date
ignature of
Legal Description VCC,TZ) Historically Designated: Yes
` Owner /Lessee/Tenet ( I2 (in) T ( H Master Permit # 6?
Owner's 65 NE 917 ik I ner's Address 1 Phone
Contracting Co. °1et 1./t r Address
Qualifier p„I Kt''
lee AS SS# Phone
y
• `401rirr
No ary as to 0 I it9,r.'c3rn
My Commissio E.LpiA
COM
?o\ a\ et #-336
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972
1
Job Address 5 P co 5 T - Tax Folio
REC DVED
JUN /9 r.ti
2003_7_,L, UGC
State # Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING � MECHANICAL ROOFING
WORK DESCRIPTION: � C� KS 1 N I f �Q402 F
Square Ft. Estimated Cost (value)
wner an or Condo ' esillent Date
(/'-.271/_s-7- 2Y PG e O��i'JOl'ARY SEAL
.. GLLADYS J VILLAR
if 0
ndo PrZbi ol3
MY COMMISSION EXPIRES
MAR. 1,2006
APPROVED:
Zoning Building
Mechanical
O3
Date
as to
Commissi
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). 1 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: 1 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.
Signature of Contractor or Owner Builder
USA CARSON
MY COMMISSION # CC 866680
• EXPIRES: August 26, 2003
Bonded Thru Notary Public linden/liters
FEES: PERMIT L 0 ' RADON C.C.F + CJ NOTARY S 0 0 BOND
TOTAL DUE �✓ /7
JUN 2 7 2003 Electrical
Plumbing Structural Engineer
3 pe rn' 0 0 1 ) \ - 5 - ) 6 i j