RF-10-406 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
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Inspection Number: INSP 137813 Permit Number: R 3- 10-406
Scheduled Inspection Date: March 23, 2010 Permit Type: Roof
Inspector: Bruhn, Norman
Inspection Type: Final Roof
Owner: FREEMAN, PATRICIA Work Classification: Repair Roof
Job Address: 1151 NE 99 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050180070
Project: <NONE>
Contractor: DALEY ROOFING INC Phone: (305)754 -9892
Building Department Comments
REMOVE APPROX 20 TILES ABOVE LEFT OF FRONT
DOORWAY. REPLACE ANY ROTTED WOOD. INSTALL
NEW UNDERLAYMENT AND TILE WHERE REMOVED.
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 22, 2010 For Inspections please call: (305)762 -4949 Page 6 of 11
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 137814 Permit Number: RF- 3- 10-406
Scheduled Inspection Date: March 19, 2010 Permit Type: Roof
Inspector: Rodriguez, Jorge Inspection Type: Roof Repair
Owner: FREEMAN, PATRICIA Work Classification: Repair Roof
Job Address: 1151 NE 99 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050180070
Project: <NONE>
Contractor: DALEY ROOFING INC Phone: (305)754 -9892
Building Department Comments
REMOVE APPROX 20 TILES ABOVE LEFT OF FRONT
DOORWAY. REPLACE ANY ROTTED WOOD. INSTALL
NEW UNDERLAYMENT AND TILE WHERE REMOVED.
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 18, 2010 For Inspections please call: (305)762 -4949 Page 6 of 7
Miami Shores Village rrI
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000,
Phone: (305)795 -2204
f '
` f„ Expiration: 09/11/2010
Project Address Parcel Number Applicant
1151 99 Street 1132050180070
PATRICIA FREEMAN
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
PATRICIA FREEMAN 1390 BRICKELL Avenue
MIAMI FL 33131 -
Contractor(s) Phone Cell Phone Valuation: $ 1 ,000.00
DALEY ROOFING INC (305)7549892
Total Sq Feet: 20
Type of Work: Repair Available Inspections:
Additional Info: TILE COLOR THRU Inspection Type:
Classification: Residential Roof Repair
Final Roof
Roof Review
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Education Surcharge $0.20
Invoice # RF-3 -10 -37277
Permit Fee - Repairs $150.00 03/1212010 Credit Card $ 50.00 $104.60
Scanning Fee $3 03/18/2010 Check #: 1071 $ 104.60 $ 0.00
Technology Fee $0.80
Total: $154.60
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 taws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated
March 18, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 18, 2010 1
Miami Shores Village
Building Department MAR 1 2 010
10050 N.E.2nd Avenue, Miami Shores,. Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 Y:...:......
BUILDING - Permit NoX
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type (circle): Building oofin
Owner's Name (Fee Simple Titleholder) &22 Phone #
Owner's Address
City NOW lb&C C State .__�'� Zip 33) 3 8'
Tenant/I.essee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3,3J 3�
FOLIO / PARCEL #
Is Building Historically Designated YES NO 4-
Contractor's Company Name Phone #
Contractor's Address D� `S-i`
City M1t / S y � S tate 4 .. Zip �3.3> 3 t1
Qualifier.Name f" 2)G," Phone #
State E�ttifika�e or No. ��'j Certificate of Competency No.
iArcbitect/Engineer's Name (if applicable) Phone #
Value of Worlk For.this Pern* $ -7 Square / Linear Footage Of Work: 2 Q
1 t
Type of Work:' [ Addition ' h ElAlteration New RMjr /Replace ❑ Demolition
Describe Work: —9,0' P dog a=Q 77t,6 ¢ /�T
0AJ m Qv -i A-A10 n L15
Submittal Fee $ Permit Fee $Q * CCF $ O. CO /CC
Notary $ Training/Education Fee $ Technology Fee $ `
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side –4
Bonding Company's Name (if applicable)
Bonding Company's Address
City » State zip
F
Mort
gige Lenders. 14anw (if v 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 appr ed and tn ion fee wil l be charged.
Patricia Fe Signature B Signature ynn w sey— n- act
Owne and Sole Trustee Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was ackn edged o e is.
day of March , 20 1_0 , by Lyman B . Lewis day of - , 20 LQ b ,
wh is personally known to me o who has produced who isersonally known to m or who has produced
As identification and who did take an oath. _ as identification and who did take an oath.
NOTAR LIC: NOT X PUBLIC:
Sign: Sign: 7. 77L
» »,
Print • `' AJV1JWIJLq0N#nD=U Print:
M Commission Ex ires: �, �� EXPIRES: January 12, 2A13 M Commission Expires:
Y P 1W- IWwBudoNoteryservb� Y P
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APPLICATION APPROVED BY: °��` �r U $ Plans Examiiier`r'
r
Engineer
Zoning
(Revised 07!10(07)
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SECTION R44OZ13 S '" •' • • • • • • •
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICAP � ''
CONSIDERATIONS • " "'
.. ;% •
R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractcu '� `.,,Ivne ' •: •
with the required roofing permit, and to explain to the owner the content of the section.
R4402 govern the minimum requirements and standards of the industry for roofing
Additional
, •
IY the following items should � addressed as part of the agreement be n , o _ .'; • ...;,
contractor. The owner's initial in the designated space indicates that the item has been e
1 • Aesthetics- Workmanship: the workmanship provisions of Section 84402 are for the "' se 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
the agreement between the owner and the contractor.
2• __�_Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be
renalted 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
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 to be performed.
4. Exposed Ceiling: 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
penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the
appearance.
5 • onning 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. 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
original roofing system is removed. Pounding conditions should be corrected.
�• erflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not
overloaded 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
accordance with the requirements of Sections R4402, R4403 and R4413.
7• ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be
redu . It may beneficial to consider additional venting which can result in extending the service life of the
roof.
Owner /Ag s Signature Date Contractor Signature Date
Revised on 7/9/2009 LD
ASSEMB
AND ROOFTOP STRUCTURES
ROOF ASS
Florida Building Code Edition 20 Form.
Hlgh'�ocitY liurrlcane Zone Uniform Permit Applicatio
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ROOF SYSTEM
INFORMATION
Total (SF)
Low Slope Roof Area (SF) Steep Sloped
Roof Area (SF)
fit• f 21x94 rfiow scuppers and overflow drains.
root dimensions of elevated pressure zones and location of
Include dim levels
nsions Of sections and levels, c �identify ins, dimensions
parapets.
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FLORIDA BUILDING CODE — BUILDING
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S��ores Village
APPROVED
BY DATE
ZONING DEPT
SLDG DEPT
SUBJECT 1- GGfA�I IA�dGE WITH ALL FEDERAL
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