1234 NE 101 St (5)MIAMI SHORES VILLAG
BUILDING DEPARTMEN
305- 795 -2204
Building Inspection Request
Date\ Time
Type Insp'n 'r (1G Pionf
Permit No. e/ .9•C — 1 3. Q
Name I \ I c
Address `� `'
4 E 1 0 ` U
Company QCtki-a-
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
Name & Date
0
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Coofin
Owner's Name (Fee Simple Titleholder) D4-vii, ew ee, Phone # J 1 2S - 9/ 7/
Owner's Address /23 V 4-E 10/
City "Mg Sl 7-e-g State
Tenant/Lessee Name
Job Address (where the work is being done) LL /Lb /d J 5
City Miami Shores Village
Contractor's Company Name
Contrac or's Address 11 /LC 106 6"
City
Qualifier
Architect/Engineer's Address
City • to
$ Value of Work For this Permit 4 'Is
„.
County Escrow Fee $ r
Education/Training Fee $ C/ r ad
Minus Plans Check Fee $
Miami Shores Village
epartment
RECEIIV
OCT 2 ' 2003
S tate
County Miami -Dade
Is Building Historically Designated YES NO
Code Enforcement $ Bond $
Permit No. p o ' 1 (off
Master Permit No.
Zip 3
Phone #
Architect/Engineer's Name (if applicable) - Phone #
Struct. $
zip ` 3313 r
Ji G Phone # Ji,7cSV 9
Zip 3313ef
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Zip
Square Footage Of Work: (L t1 Li
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ['New �Repair/Replace ❑ Demolition
Describe Work: P, �. � L (wax c I�X.E, c Ai?jt . -
-2iw►t ()Ali -
Permit Fee $ ZOO Notary $
Tech $ a, s0 Scanning $`� Radon $
Total Fee Now Due $ (Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
• CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
* * * * * * * * * * * *
State Certificate
chc7nro3
c
APPLICATION APPROVED BY:
Owner or Agent
The foregoing instrument was acknowledged before me this 11
day of UCH , 2oo5 by \v , r \ `; . e y,
The foregoing • strument was acknowledged before me
da of l. 20 ( C 5
. , by ' I
who is personally known to me or who has produced ---\G L C , who is personally known to me or who has produced
• t • \ k. 3 )(.ot -- Ake identification and who did take an oath.
NOTARY LIC: r\ NOTARY PUBItIC:
Sign: \ C,"•-(0.0.- `)` .3---......._ Sign:
Print: -- ?C\.UC7 \.) • C •, 2_ Print:
My Commission Expires: 4 • U
MY COMMISSION # DD 20059tc
EXPIRES: April 7, 2007
Bonded Thru Notary Public Underwriters
Signature
Contractor
as identification and who did take an oath.
s:
• My Conftnis, tolm Fes. ' , n' 'd T hru
onding Co., In
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
tificate of Competency Holder)
Certificate of Competency No.
************s************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
OCT 2 3 2003
Plans Examiner
Engineer
Zoning
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICA OiTFOR ROOTING
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 Buildatg Code, Building govem the minimum requirements and standards of the industry for
roofing system installations Additionally, the following items should be addressed as part of the agreement
between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been
explained.
Fee
t 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.
1 / 01 k 2. Reuniting 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.
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.
VY-2, 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.
DC91 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. Perimetededge 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.
T. 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.
10 /g..;,
ner's/Agent's S ature Date
tractor's Signature
Contractor's Namc:
O (Low Slope Application)
O (Asphalt/Fiberglass Shingles)
FT
FT
• 0 .; :
New RboT•-
• . • ;
•
FASIENEkTYPE:
ROOF CATEGORY
O (Nall -On Tile) 0 (Moroir•Set Tlle)a
O (Metal Roofsfwood Shingles & Shakes) 0 (Other)
ROOF TYPE
0 Reroofing 0 Recovering Repair 0 Mainten
Flat Roof Arca (ft Sloped Roof Area (ft Total (f1 Master Permit No
Exposure category (perASCE 7 -98): Building Classification category (per 7 -98): _
ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed)
DECK TYPE
1
ATTACHMENT
SPACING
•
FIELD: PERIMETER; CORNER
DETAIL 114
SECTION 1525
HIGH VELOCITY HURRICANE ZONES
UNIFORM PERMIT APPLICATION
A G- Job Address: Z V A-E
e
r
•
Fll
ROOF RAN
• r •
s r_••••■■■■••••.••••••••••■•■•■•■•■••■
ONO
,
■s —
. _ • —
-C
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /24/2003
Applicant: DAVID
Owner: RUFENER
JOB ADDRESS: 1234 NE 101
Contractor DALEY ROOFING INC
Local Phone: (305)754 - 9892
Parcel # 1132050080030
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2003 -1662
RUFENER
DAVID
ST
Contractor's Address: 78 NE 106 ST
Legal Description: 5 53 42 GORDON SHORES
Fees:
FEE2003 -6474
FEE2003 -6475
FEE2003 -6476
FEE2003 -6477
FEE2003 -6478
FEE2003 -6479
Description
Building Fee
CCF
Scanning Fee
Notary Fee
Technology Fee
Training and Education Fee
Total Fees:
Amount
$100.00
$0.60
$3.00
$5.00
$2.50
$0.20
$111.30
Total Fees: $111.30
Total Receipts: $111.30 1
OCT 27 PAID
Permit Status: APPROVED Permit Expiration: 4/18/2004 Construction Value: $815.00
Work: REPLACE APPROX. 20 TILE AND INSTALL GUTTERS AT FRONT END OF ROOF
PB 45 -8 LOT 3
Page 1 of 1
BLK 1 LOT SIZE 100.000
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:
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or tile plans and specifications herewith submitted for the build
ins 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 thc Laws of thc 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 C Mrs. Alice
Registered Architect and /or Engineer ,. e.. .,.•••r..• r,..nntrw.•e• MM
Name and address of licensed contactor Obenour Esigf & _511p.ply • CO.
Location and legal description of lot to be built on:
Lot -J Block /
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building Remodeling Addition
To be constructed }- 30,1 -90 Kind of foundation
11,000
Estimated Total cost of improvements $
Zone cubage required
Distance .to next nearest building
Maximum live load to be borne by each floor
therein by him st.ted ar
Permit No.._..1.'l v " Date...
Disapproved Da e.
(Signed)
Building Inspector
Date..._..._ ». 6/23/ _ ...._�..._ -- ...... 86
, 19..
No. 4......._... Street_.NIj E . _ I.41 S.t.,.
.... J 4 / .___./1 J.
Subdivisio .. .... .._.
1234 N.E. 101 Street
Reroof entire residence with new white tile roofing 39sqs.
and for no other purpose.
Repairs R.e.11:10Qf No. of Stories _
wood Roof Covering tile
39,00
Amount of Permit S.
_Plan Cubage
Size of Building Lot
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to. 7357 N.W. Miami Ct. Miami, FL 33150
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 Sup clement,
and has complied w ith 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 arc required by the Act. The undersigned agrees to employ only such subcontra ors, on work to be , ormed 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 notaty public, duly authorized to administer oaths and take acknowledgments, personally ape
geared James D. Obenour
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.cOntraetor
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
Sw • rn to and Sub o me.
Notary Public, State of Florida
My Commission Expi NOTARY PUBLIC SJAl._OFFI O _. --
1 11 COMM SST EXPIRES FEB. 18. 1981
PLANNING BOARD DATE
. Chairman Member
Micrnber Mcmbcr
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 frrnn
the Plannir.;: lluard.
A re-inspection fce of SI.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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.
Owner's Name and Address)
Registered Architect and /or Engineer
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot
Permit No
Disapproved
( Signed)
MIAMI SHORES VILLAGE
Date
D
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Z Y
Date
7 # '4
> a /
Street72t s /
`_sue 75i-V
Block Subdivision
Street and Number where work is to be done ,/. ! z t • d /
State work to be done and purpose of building (by floors) � ll
and for no other purpose.
New Building v Remodeling Addition Repairs No. of to 'es
To be constructed of Kind of foundation Roof Covering
E
o
stimated Total cost of improvements $ / `" 00 Amount of Permit $ .7 ^ ne)
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
be sent to
The undersigned applicant for this building pennit 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 Cener 1 Laws of Florida, Penn ent Supplement,
and has complied with the provisions thereof, and will require similar compliance froi all co ctors or sub - contractors mployed by him
in the work to be performed under this permit; and will post or cause to be posted inspe on tj site of the work uch public notice
or notices as are required by the Act. The undersigned agrees to employ only s bcont; to , qh Jwork to be er rmed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe • _ _ ..._ _ 4
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. J 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 true.
aa�
Building Inspector My Commission Expires
PLANNING 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 Bard.
A re- .ection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materi:. an /or workmanship.