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RF-10-1697Miami Shores Village Building Department l SEP242016 Vi ...V.:=7= 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No.1610 I1 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Xi/Zi e Ai, d'N. Phone # Owner's Address . We �° // .5T s, City R� ///f / , Are State PZ, Zip .?� / A3 / 9 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village Contractor's Address 7 / NW.). 7 �T Architect/Engineer's Name (if applicable) Value of Work For this Permit $ r'z7 ®� Type of Work: ['Addition DAlteration ❑New Describe Work: -4 ft 7L 'e 644 ( efitteunt1174€0.7 67Z County Miami -Dade Zip 33' /SP' FOLIO / PARCEL # ,.9 4/,3- /,74 Is Building Historically Designated YES NO Contractor's Company Name ;Z7 Z Gib G - Phone # 3 .?G‘- /9// City M /may State P . Zip Qualifier Name �/ ®� /� . .. TG�� Phone # c„ZaC State Certificate or Registration No. Certificate of Competency No. dee Phone # Square / Linear Footage Of Work: „la ❑ Repair/Replace ❑ Demolition 6 "G(/ ' ..0.27 57,f * * *** *, *******************************F *** ** *a* F ees * * *, * * ** ** * * * * * **** *, * * *** ** ** * * **** t * *** ** Submittal Fee $ Permit Fee $ /0 00° CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 61 . (pc) D 1 See Reverse side ---> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if 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 # osted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent Contractor The fore oing instrument was acknowledged before me this 23 The fore oing instrument was acknowledged before me this day of , 20`V , by day of 20/ b a a Y who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) °'�� �k PATRICIA BAR6Vrg MY COMMISSION # DD911473 EXPIRES July 28, 2013 NOTARY PUBLIC: Plans Examiner Engineer Zoning Inspection Number: INSP - 152060 Scheduled Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: KANG, JULIE Job Address: 46 NE 101 Street Project: <NONE> Contractor: ISTUETA ROOFING CORP Building Department Comments October 12, 2010 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: RF -9 -10 -1697 Permit Type: Roof Inspection Type: Final Work Classification: Gutters Phone Number Parcel Number 1132060131360 Phone: 305/266 -1011 INSTALL 26 LINEAR FEET OF 6" WHITE .027 SEAM LESS ALUMINUM GUTTERS v. :sea& / Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 151601. Provide a ladder for inspection. NB Page 13 of 23 00 i 0200. 0.0 SEE OTHER SIDE DO NOT FORWARD ISTUETA ROOFING CORP JOSE FRANCISCO ISTUETA 7501 NW 7 ST MIAMI FL 33126 1 l101ftf {t!lAIIAAndah fl uilh adhnttid h411 VILLAGE OF MIAMI SHORES 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Frank Furman, Jr /RD it - IX ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) 2/25/2010 PRODUCER (954)943 -5050 FAX: (954)942 -6310 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Istueta Roofing Corporation 7501 NW 7th Street Miami FL 33126 INSURERAFirst Specialty Ins Corp 34916 INSURER B: $ridgefield Employers Ins 10701 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES REQUIREMENT, THE INSURANCE AGGREGATE OF INSURANCE LISTED BELOW TERM OR CONDITION OF ANY AFFORDED BY THE POL LIMITS SHOWN MAY HAVE BEEN HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. REDUCED BY PAID CLAIMS. INSR LTR ADD'L )NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POUCY EXPIRATION DATE (MM/DDM') LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 1RG151401 3/1/2010 3/1/2011 EACH OCCURRENCE , $ 1,000,000 PR PREEMIMI ESES S RENTED cTED occurrence) $ 50,000 1 CLAIMS MADE X OCCUR MEDEXP(Anvoneperson) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 X 5 Mil Per Proj Cap PRODUCTS - COMP/OP AGG $ 2,000,000 GEN 'L AGGREGATE LIMIT APPLIIESPER: 7 POLICY ° I JECT I PP 1 LOC ' AUTOMOBILE — — UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ - EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below 83040491 1/1/2010 1/1/2011 X I TnRY LIMR J I E E.L EACH ACCIDENT $ 100, 000 E.L DISEASE -EA EMPLOYEE $ 100, 000 EL DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER ACORD 25 (2001/08) INS025 (0108).08a CANCELLATION ©ACORD CORPORATION 1988 Page 1 of 2 t Master Permit No. Contractor's Name Job Address 6 'Zl° 'Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Process No. ROOF TYPE ❑ N ' f` IRe • • i ❑ Recovering ❑ Repair 1-' ;" 41 re rm..?fg iN 6, ale ROOF CATEGORY Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingle ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) ❑ Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes VIP ,10, Shores Village SUBJECT TO COMMA= WITH AIL MOM STATE AND COUNTY W.ES AND REGULATIONS Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and . overflow drains. 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Uiriii eiiii Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer: • 02 74a-oat at Utx104.c4.4, NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: Max. Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor /Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener /Bonding Material: Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener/Bonding Material: Top Ply: Top Ply Fastener /Bonding Material: Surfacing: Section C (Low Sloped Roof System) Fastener Spacing for Anchor/Base Sheet Attachment Field: _ " oc @ Lap, # Rows @ _" oc Perimeter: _" oc. @ Lap, # Rows_ @ _ " oc Corner: " oc @ Lap, # Rows ._ @ _" oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Mean Roof Height