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ROOFING
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ) /OJ�Lv� Time Type Insp'n Permit No. Nam Address Company t / Phone # S 7 '`_a For Inspector // 1 /,) 0 k . j3 Approved (C Correction Re- Insp'n Fee CI C7(11-te,__ Name & ti V Approve Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Permit No. Name ��v 0 // Address Company Phone For Inspector: ^ U p� Name & CONTRACTOR Name D�yL� %J e-00/6//U l License No. /fi /y ,n C ?2 J 0 Address /1 7( 0 .64__ in la/ 5/. UreS 7 / 3313S Telephon35 7 /q p'vax 7c - t i 9gs_ � / v � T 4 Qualifier Name � �n a f / A PROPERTY OWNER New Construction J, Name ¢� ,st ,�7 ; �,e–/ ill /fi CI Enclosure Address n l /LE 9 S± n'l�a/ni Jhc/ - S 33)Sff Home Telephone 7 e ! 7 ` 3A2_3 _7 Repair Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure l� Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Add'I Attachment Foundation Only Other Add'I Detachment Other _ 11 II 1 n! i l,11 11Ilill,li'. 1,1 INSTRUCTIONS following steps must be taken id ■∎otolhl �a permit from the )\�i ami Village: E. Step 1. Step 2. Submit the completed application with all necessary docurnents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 1 II hl II Job Address: Folio Number 113,0& Description of Work PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telepho Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type lo allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. a,C qg i? ed-, i a/ni Address Apt. City Block Lot Subdivision PB PG Zoning Linear Feet ti� Current Use of Property_ e S /C2EW 77 � Square Feet O A}O 0 Units Floors Proposed Use of Property Value of Work 8' Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. Subsidiary Permit No. ENGINEER Name License No. Address Telepho E PERMIT APPLICATION 3hUYeS, / 33/3e State Zip /PCpi's /e (J .- /,,do OY Page 2 IMPORTANT Nun CES I. 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 13E 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. AFFIDAVIT - Please read ca refully. 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 0 _ ORID COUNTY wrier Signature of Print Name r rgto and subscribed before me this /8 day o C / , SEAL: ry Pu i0.: tateef Fl da _ • STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier .47 _ Print Name Sworn to and subscribed before me this day of SEAL: tary II , # `} PERMIT APPLICATION ors C'Ci3fi,97 Personally known OR, n R, Produced Identification � Personally known d� OR, Produced Identification Type of Identification ProducedTV �� . 9 C `k (1 ° Type of Identification Produced: , EELS ikii`CAL'll f t TYPE �� 1 , Minimum Fee l'c''''' 1 I `; lo`rill`I QTY. t TYPE Dryer ,I IV I O ���N I I re YI'E i Outlet, Appliance � • 91 "°{�`'V} T YPE a ,13 Service Repair y, ow' A/C Central 1 -3 Ton Fan ili Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Pump Process/Pressure Piping Outlet, Switch Bath Fan - Vented, # Signs Pressure Vessel A/C Central 8 -15 Ton Fixture - Fluorescent Cap - Fixture Oven Fountain Space Heater (kw) Pump and Abandon A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Supply, AC Well Plugmold/Strip Cap - Sewer Subfeeds, No. of Amps Gas - Natural AJC Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Pump, Re- circulate Range/Range Top Temporary Water Closet Swim Pool, Residential Clothes Washer Chiller ■ Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Grease Trap Refrigerator, Comm. (p/PH) Pump, Sprinkler Temp Serv., Construction Utility - Sewer Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Dishwasher Renew - Temp Service Indirect Wastes Relay Repair Demolition Low -volt, Intercom/Teleph. Repair Circuits Roof Inlet Dishwasher Low -volt, Television Domestic Well Service, Number of Amps Laundry Tray Septic Connection MECHANICAL I TYPE 1 Minimum Fee QTY. TYPE Condensate Drain 11 1 1 ( QTY. 1 uTYPE i - Generator i1 (111 l;. TYPE Q fly'. Refrigeration, Tons AJC Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth ili Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Filter Replace Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Sprinkler Repair PLUMB1 1 1 1 1'I', A/C Condensate QTY. "1•YI'P, Drains, Roof �1 QTY. 1 1 TYPE Miscellaneous Fixture Q lll'. TYPE Soakage Pit Q,T 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 Vacuum Pump Dishwasher Indirect Wastes Relay Repair 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 fl: IOrF1' I''I :II 711' f111;11;1111 MIA /I 1 in P-2111111 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: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official 1 -6 --U Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) O PROOF OF OWNERSHIP (Attach) Zoning Review ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PER1IIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ t N Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ o 0 c) $ 5 0 REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.0I /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ l, b 0 r ISSUING OFFICIAL 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 O 1-0v15 wm_+eiaaraa.m. S. �.ey..�= PAY Inns , QVU if. � 7 VL L ORDER /� �S-6d ORDER OF 1 $ d (tA x, DOLLARS B .a, Bank of America, �� A CH R/T 083100277 Look for blue background on the front of this check,:and the imageSafe© logo on hack. If not present, do not cash. DALEY ROOFING, INC. 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305- 754 -9892 DATE VV/e) - �:"• � r_t?�scr_c�r•e�sm.+ri�nnnr:v� 3761 g' ' 63 -4/630 FL 1035 FOR - -- ur 10 00 3 76 1 11' I:0 6 30000 4 7i: 00 1 596 2 L 9 50 311' Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 1/2/2002 Applicant: ANNE Owner: WRIGHT Permit Number: BP2002 -6 WRIGHT ANNE Contractor DALEY ROOFING INC Address: 78 NE 106 ST Local Phone: Cellular: Fees: Description Amount FEE2002 -23 Building Permit Application Fe460.00 FEE2002 -24 Notary Fee $5.00 FEE2002 -25 CCF $0.60 Total Fees: $65.60 Building Permit Permit Status: Approved Permit Expiration: 7/1/2002 Construction Value: Work: REPAIR LEAK APPROXIMATELY 10 TILE $375.00 Page 1 of 1 Parcel # 1132060142480 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & E1/2 OF LOT 14 BLK 72 LOT Job Address: 825 NE 98 ST Total Fees: $65.60 Total Receipts: $0.00 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 pertainint tp 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. servo is or emplo -es/ Signed: t - 2 . - ' Z (INSPECTOR) BY: 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: , \I'I'1 %1'1111.\ "I."111. Q111111.1) O11'I•II•.Il`i I'IU I'II•I(:n 111)1'1 fill 110 01.1111: ( :(1II',11)1.11,\ 1 1O11.'. \ 1 11 Ir, own In Illt•. I \ "1 " II Is Ili: Irs1 u( 111r. rnuf11tg Cnn lu1 11, 1111v111r Ihr, ulvnCr 11 1\ luulu ISI 1u0 vuIC Ilic 01 x1111 III1S .11111C 111 ,hill I1, C (11 1 nr1 1 111 Ill u 11c 11,11111 of dm lu,n1 1l1c l )luvlsnl't1 of Cimino ) I of the youth 1 Intnl11 111,11111111; (';1 ll(.,) g oy... 1114' 11111111111111 14. 1 111111 SI.IUJ,hr JS or 11.c 111111 sll for foun11 syslc111 11111.111 lll)11) / \,1J111ullnll )', 11 c (ulluwu'I; iIC111% %1%01111) be nlhllctStl ns hall of Illc nglccnlCnl hellvctn 1114 11WIICI 111111 II1C CIIn11nCI1)I 1111: 111V 111'1') in 111,11 111111c 11111.11%111 Luc in111c•nct dint 1lic;11.111 has bcc11 Cx 11111111C 11 1 , \ cSII,rli11 \\'11111111.1nslli11 IIIC SNrknunitlhill l llOVISintS or (.Illlllct )•1 n1e fut III: Imtl ( ()l 1111I%Il1 l: 111111 1111 111111 lllg \yNcln Iu1.IIs 11 : Ivintl 1CststnuLC ni l %x1111 11111114iu1 Ilrl111 1110%1., SInn11n1J% / \I SIIt.1141 ("11111 3 C) ISS111:\ IIIC Ind a Cu%nlCu Jllun %' ill% 14'511(4'1 to SvuIk 111ttvi \IIIIIS \IIICIIc I5S10 5 511%11 1111:01 1 1,1 111 CI1tICCIu1.11 a1111e•II.I0tC, 111,11 MC 1101 11.111 01 1 inning Link, %Itutlll be nJ11c 551II "S 111111 01 the nl•.4:4: h :nl l LI1,LC11 Iic UIVIIC1 and III% CunitnClul 1. Ilculrllin \Yuno 1)crlts: \lhc11 IC luorni Ills cxiiliit wnud hoof ticck tinny h.tvc In Lc 1.l 111011.1 in nunIJnnic %x1111 Ills 1.1,litOl 1ntviSi)n %of Ch.1111c1 1') ofTR ;I 11( (1llc tool 11 :1 k i% a \ttnlly 1 cut 11 'null In hr 11 V1111' Il,r. 1.x11111; runt syslun) .1 `tit; tn11 Iluills. C 01,1111x11 tools nit: IhoSC ■vlll:I% I1n' t nu visiblc titIlntentiinn b1:Ivlsc11 irtgllllul in . 111111% (i c Itlwndlonsrs, condominiums, cIC.) lit b11hllingS \vIIII C111111111t11 1011(\, lilt tnultnl; 1 11 1 11 nl.Illl 111111 /1,b 11\'1111 %111111111 notify the otr1111n111s of nljaccnl nail% nI tooling 5rl4k 111 lir 111:1 (ultncl •1 I. :lln,sctl Ceilings. I :xpuscl, x11411 limn ccilings ntc who c the 11111cI%itc 1.11 the sou( necking WA( tin be /IIIVCd [bait I cio, 1 llc x1011.1 Iltny wish 10 IIInilllaill Iltc nlcllilcclul nl n1111cd1n11ic. Illcic(nl c, 1 00lnlg null l 01 the Intdc(Si1Ic of the locking may nol be nccclllahlt ;1 `11 inovilcs II.ic n111iun of maintaining dm allllcalancc S. 1'1111,16 1g \';1(41: •1IIc tuncnl tool sysicut nt.1/ot dcck of Ibc Lulling way tul llnin 1,r.11 and I11ny Cnutt: %x1111, 11, wind (nttu1,n11nlc) in low lying n(clS of Ill( too(. I'ontling cut Lt: nil iblicnlinn 1,( %IIIIll111.1 dish C55 And illy ul.gthi1C the ICricw of n 1110FCSSIUIInt S11 11C1111;11 C111:111CCI. 1 11114)' 0101 1L11 1 hilt: Cxl)u.Iancy and 11l'1 1n1111111CC of IIIC Incsv toulnlg Punting: L0111I11i011. may Ill ht r,vilrnt moll the tliginnl I IthIll ' Sy%It•111 is (U11ovcd. I'untling conhIiIionS should be cull ccicil (. 0eel Ilan• Stu1111c, I ( %rltll nullcls): 11 is rctluitcl Ilia( tainwnlcl (Iuw 1,I( ,n hull 11': ion( i) 11(11 uvrllu;11t1 lutn n build all 01 5v141Ct. I /clIgc MI's 01' 11141 IOU' CX 1Cli 5 illiVi 11111) 110dt IIIIS 11\tI1.ullc if nvclllusv SCUIII (vend 011141\) ntc not luuvilel. 11 way 111: nucr.\\;ny In 111511111 11 511111)1, %1!11'15 ,111 ncr.u11l11nta: will' (1utlllr.l ? I u( Illy. MAW. 1. Venlilnll011: Ivlu%I lnof slhuclures should hnvc sulnc nbilily lo 1 unluln1 nit limy 11001,%11 the 'noun)! of IhC slruClurnl nSSClnhly (111c building ilsclf). 1 he CXI5IIng nntounl of nIlic vcntilnliull 5111%11 nut he rctluccd. It 'tiny Lc hcne(icinl'o consider ndlilionnl vcnling which can Icsull in cxlcnlinl, II1c scrvicc life of the. lour. 2 11 (;en SIl.n '11,11111: ',1'11 , \I'11•.(11)IX "1:" '► Conti 's .Sll;nnl111c .- r.. .1_ - rr.• I•Ft.1 11 I‘[ipe...„.c....„c Fast==- TypC . D ETAIT 1 S. • r = cc:dez yforrr and .115^re Se. T:�e � T�1 r=147,47 C71 rrr Ffeki: MC: 2 5 AZ g 0 stew. Roof _ 77 r -'�Qi� �r f : 7 c ve — r -7. 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Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Registered Architect and/or Engineer MIAMI SHORES VILLAGE 9J/ - ,7 BUILDING INSPECTION DEPARTMENT APPLICATION FOR GILDING PERMIT �2S c3 t1.� Name and address of licensed contractor AI \ /I i 1,1'5 Location and legal description of lot to be built on: Q .`f �/ �/ Lot /J ` + E J 1/ Block / Subdivision -321 /`I f/ J�I/I // J g s/ 0 Street and Number where work is to be done p 2.5 /0F, 98 7 State work to be done and pur ose of building (by floors). state exterior colors (submit samples) i — 3C ) (._b r 1 r -; ,�., \ G ( f I 1 3 S /I '<< STATE OF FLORIDA COUNTY OF DADE. Permit No. g 7 ��7 Disapproved (Signed) L 7 5 3 A Date I D Date / 0/7// 8T Read. Sworn to and Subscribed before me. Z) ft No r ^ Street 77 m,' and for no other purpose New Building Remodeling Addition_ Repairs No. of Stories To be constructed of //__ Kind of foundation_ Roof Covering Estimated Total cost of improvements S 62 S to. w� Amount of Permit S X d O 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 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 he understands and accepts his obligatons 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 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 use 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'gmplo only such ?co actors, on work to be performed under this permit. as are licensed by Miami Shores Village. `, A (` t // Remarks (Signed) Y / � Vol Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. t/C ) to me well known. Date v Owner's Address OZ Square Ft. /" PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • 305-795-2204 A Job Address g 726- 9 g Tax Folio Legal Description Historically Designated: Yes No /( ssee/Tenet oberi4 "" ri j hi- Master Permit # La t2t0C) J D 2c /LE- g Phone 3o , 75 ' h 3 Contracting Co. b tki /°"'0 Address 7! /w �O Qualifier - Da 144d ' - ! SS# Phone 30,C;73 ) State # W 1 �� � Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: L9/L �� gi,�, =Q- 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. FEES: PERMIT 0 ;° RADON APPROVED: Zoning Building Mechanical Plumbing Competency # Ins. Co. Estimated Cost (value) # C.C.F a U Si 7 ture of Contractor o Owner Iluilder Si +at.re of owner and/or ondo Preside t / 4/8 �� - ;..R 2-. D L NtNig :�'� e tfsl t No a t ner a d%o Co. d 'P' td ,, •rrz5ea ate N as to C tractor 9 eWuie I3gilker y Commission Expires:': "-;!. ;t Ca7n6397 I My Commission Expires • • A• -'' :a s a CC7CAC= NOTARY 5 J c) C) BOND TOTAL DUE S • /1 V )-0/0 2, Date " ctrical Structural Engineer FLORIDA gir I fitE The Sunshine State OBERT DAVID WRIGHT 825 NE 98 ST MIAMI 0 -08 -48 M 5 -10 W623- 764 -48- 368 -0 CLASS: D B 0000 E 11 -10 -1993 i -08 -1997 bt 14 -1994 0394050216 Contractor's Name: ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof FT FT FLORIDA BUILDING CODE — BUILDING SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Job Address: �� itel 9k off: ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Mortar -Set Tile)" . ❑ (Metal RoofsAVood Shingles 8: Shales) ❑ (Other) ROOF TYPE ❑ Re- roofing ❑ Recovering , S1 Repair ❑ Maintenance Flat Roof Arca (ft Sloped Roof Area (ft Total (ft Master Permit Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 7 -98): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) DECK TYPE: FASTENER TYPE: DETAIL 1&2 ATTACHMENT SPACING FIETD: PERIMETER: CORNER: • r- r r FIGURE 152: • - - — JJ -. 15.3 er's /Agent's Signature Date / U C. 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 with 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 adjacent 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. 2. Reiiailing 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). ,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. /Z-1--4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof deckin g 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 opt n 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 until the on final 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 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. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the tenor 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. 0.1 Contractor's Signature Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 ■J Printed: 8/21/2002 Applicant: ANNE Owner: WRIGHT JOB ADDRESS: 825 NE 98 Contractor DALEY ROOFING INC Contractor's Address: 78 NE 106 ST Local Phone: (305)754 -9892 Parcel # 1132060142480 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & E1/2 OF LOT 14 BLK 72 LOT Sig Fees: Description Amount FEE2002 -4672 Building Permit Application Fee $60.00 FEE2002 -4673 Notary Fee $5.00 FEE2002 -4674 CCF $0.60 Total Fees: $65.60 Permit Status: Approved Permit Expiration: 2/17/2003 Construction Value: $480.00 Work: REPAR LEAK APPROXIMATELY 20 TILES L r-a-� � C�- — tom 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 t - .vered 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, serva ploye Building Permit Permit Number: BP2002 -1466 WRIGHT ANNE ST Page 1 of 1 Total Fees: $65.60 Total Receipts: $0.00 SPECTOR) BY: 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: v 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305-754-9892 r) / / DATE �'/ ! PAY ORD I ,/ r/ � . 4 .0 ER OF C�1 r ��l` -lta ) - _c l� o I $ 6Y J 'CX 6,{_ .-2(A,' L1ucA , ok_ ` DOLLARS Bank ofAmerica. ACH R/T 083100277 ''� DALEY ROOFING, INC. ha, A f o r d e t n, 1. filwrtmattazr:f .aissase „.,..d,2l�.rlis,� FOR — 0! .a 00040690 I:0 6 30000 4 7i: 00L5962L9503" 4069 63 -4/630 FL 0 1035 nv ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA BUILDING [� ELECTRICAL ❑ PLUMBING PERMIT N° 7046 ❑ Owner of Building . s C_ joa f Sa <' . Architect Contractor or Builder ° ° — a :�^ . �? t Gs . 7 Legal Lot z Description 11 B1 Address of i y -j/\ !° Building Y Z � d� DATR 195 Contractor's `. ,g, 3 License No. Work to be performed under this Permit c o.� [7 " — Subdi- vision j Value of e' 1 Amount of p' Project $ , `' 1 Permit $ 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. 7 Signed. Gl< r y /' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered h eunder 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. - ?7'Z''..- A. ` ' ,,zf d4�! ,'.0 / , 4/f d I . -. o t''''(/ ? c . - CONTRACTCR OR BUILDER BY 0 AUTHORITY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the 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. Date No — Owner's Name and Address.- No Street - - Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done [J A 6 State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fountlation_ Roof Coveri building Estimated Total cost of improvements $ 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 and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he 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 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 inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr ctors, on work to btjperformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. 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 e. Permit No 7 L '' Date / 7/ - Read, Swo to and Subscribed before me. Disapproved Date i ` Notary Public, State of Florida Building Inspector My Commission Expires P NNING BOARD DATE Chairman Member Member 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 from the Planning 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.