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RF-10-1726
Inspection Number: INSP- 151764 Permit Number: RF -9 -10 -1726 Scheduled Inspection Date: November 12, 2010 Inspector: Bruhn, Norman Owner: UPTHEGROVE, ERNEST Job Address: 38 NE 109 Street Project: <NONE> Miami Shores, FL 33161 -7040 Contractor: SR WHARTON & COMPANY Building Department Comments November 10, 2010 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 Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number Parcel Number 1121360110370 LEAK REPAIR OVER TILE ROOF AREA Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 2of5 Lu 6,11 BUILDING PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): N i idf a Ri noon Phone #: 786-302-3491 Address: 38 NE 109 Street City: Miami Shores JOB ADDRESS: 38 NE 109 Street Contact Phone #: 3 0 5 9 4 5 3 4 4 2 Type of Work: :Address :Alteration Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 fl '2(p Permit No 1 O — State: FL Tenant/Lessee Name: Phone #: Email: City: Miami Shores County: Folio/Parcel #: 11-71 3 ti- 01 - 0 3 7 Q_ Is the Building Historically Designated: Yes NO XXX Miami Dade CONTRACTOR: Company Name: S . R . Wharton & Company Address: 1701 NE 145 Street City: Miami State: FT, Qualifier Name: Steven R. Wharton State Certification or Registration #: CCC 0 5 81 71 Certificate of Competency #: Email Address: srwharton@comcast.net DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 1 , 800.0 0 Square/Linear Footage of Work: 2 5 to 1 0 0 s f New )Repair/Replace ❑Demolition Description of Work: Tile Repair: Remove existing tile at SW leakage site. Repair or replace exposed underlayments with new membranes, plastic cements, and asphalt saturated membrane as necessary. COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: BY: Zip: 33161 Zip: 331 61 Flood Zone: Phone #: 305 - 945 -3442 b0S- 0 14s - Wt..Pa0( Zip: 3 3181 Phone #: 30 5- 949 -3442 *********** * * * * * * * * *** ************ * ** * Fees ****e**********e******** era ****************** paZEWER IR CEP 2 9 201l1 Submittal Fee $ Permit Fee $ /490 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 103 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 posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me thi day of ,20 , by /U /L)f 2( J who is personally known to me or who has produced 4 4 . (0,4 As ides i'.ation and who did take an oath NOTARY PUBLI Sign: '// gn i /I Print: My Commission Expires: APPROVED BY / Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)(rev6/4/10) Signature • The fore , day of Sign: Print: as iden Contractor �yy g instrument was acknowledged before me this O7 l- .•3 ,Z� , 2019_, by .y�/l� Wl�! who is personally known to me or who has produced d'' take an oath. NOTARY PU 1 I yyy P6 ® <� Q Notary Public State of Florida . Ana J Vazquez i My Commission DD958540 l � + OF "p Expires 02/04/2014 u i' yI1 i .. , _ j. ,..„ / My Commission Expires: 1O 61' ** * * * * * * * * * * * * * * * * * * * * * * ** ******** * ******************** *** *** x****** * * ***** *************erg* *yaw ** ***ear ****** Zoning Clerk CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTIONI IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 m mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmemmmmmmmmmm mmmmmmmmm mmmmmmmmmmmmmmmmmmm■mo COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: S. R. Wharton & BUSINESS ADDRESS: 1701 NE 145 Street CITY Miami STATE EL ZIP CODE 33181 BUSINESS PHONE: ( 305 ) 9453442 FAX NUMBER ( 305 ) 945 -3449 CELL PHONE ( 305) 710 - 1404 QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV CCCO58171 QUALIFIER'S NAME: Steven R. Wharton srwharton @comcast.net M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 357318 -6 "BUSINESS NAME 1 LOCATION WHARTON $ R ''& COMPANY 1701 NE 145 ST 33181 UNIN DADE COUNTY 1 LOCAL BUSINESS TAXAMEIPT IDADE.COUNTY = STATE OF FLORID EXPIRES SEPT 30, 2011 IVIUSTBE DISPLAYED AT PLACE OF BUSINE SUANTTO COUNTY CODE _CHAPTER SA; ART OWNER WHARTON S R & COMPANY Sec. Type of Business WORKER /S ,1 1a 6A , *ecE L CIALTY BUILDING CONTRACTOR 1 BUSINESS TAX 'RECEIPT. IT • DOES NOT PERMIT THE HOLDER TO VIOLATE MW EXISTING REGULATORY OR I ZON1,tG. LAWS OF THE DO NOT FORWARD "COUNTY'- OR CIJ & NOR GOES -' IT. EXEMPT THE HOLDER :PROM ANY OTTHER 'PERMIT- OR LICENSE i., REQUIRED'sr LAW. nests NOT A CERTIFICATION OF THE' HOLDER'S QUAUFIQA- ;:. nom .: I PAYMENT RECEIVED I ,H1 OECOUNTY TAX coLLeort 08/05/2018 60050000861 000075.00 SEE OTHER SIDE WHARTON S R & COMPANY STEVE R WHARTON 1701 NE 145 ST N MIAMI FL 33181 PERSON: STEVEN R WHARTON FEIN: 592673513 BUSINESS NAME AND ADDRESS: S.R. WHARTON & COMPANY 1701 NE 145TH STREET MIAMI, FL 33181 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED ROOFING CONTRACTOR THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. ' 024749-4 STATE& CCCO58171 1, 111,,,11,1 „)11„ 1,,,,111 „11,111111 „11111111 0 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 01/03/2009 EXPIRATION DATE: 01/03/2011 FIRST - CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS NAIC # A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR INSURER C : TBD INSURERD: 8/25/2010 / /EACH 8/25/2011 OCCURRENCE $ 500,000 X PREMISES Ea occurrence) $ 50,000 CLAIMS -MADE X MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 500,000 GENERAL AGGREGATE $ 500,000 GEML AGGREGATE LIMIT POLICY PRO JECT APPLIES PER: PRODUCTS - COMP /OP AGG $ 500,000 � X LOC $ AUTOMOBILE LIABILITY 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) $ $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N/A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) Village of Miami Shores Building 10050 NE 2nd Avenue Miami Shores, FL 33158 & ■ Zoning SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M Richmond, AAI/MLR ic "�'` - A °f CERTIFICATE OF LIABILITY INSURANCE 8 /30/ 010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Caton -Hosey Insurance 3731 Nova Rd. Port Orange FL 32129 NAMEACT Michele Richmond, AAI A/C PHONE ). (386) 767 -3161 FAX N (386) 760 -1770 A : michele @catonhosey.com PRODUCER 00016257 CUSTOMER ID #. INSURER(S) AFFORDING COVERAGE NAIC # INSURED S.R. Wharton & Co 1701 NE 145 Street Miami FL 33181 INSURER A :Southern Owners 10190 INSURER B : INSURER C : INSURERD: INSURER E : INSURERF: COVERAGES ACORD 25 (2009/09) INS025 (200909) CERTIFICATE NUMBER:CL1082605187 CANCELLATION REVISION NUMBER: © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • • • • • • • • • Pnclude • • • • • • Master Permit No. Contractor's Name S. R. Wharton & Company Job Address 38 NE 109 Street ❑ Low Slope ❑ Mechanically Fastened Tile • Mortar /Adhesive Set Tile ❑ Asphaltic ❑ (Metal Panel /Shingles ❑ Wood Shingles /Shakes Shingles ❑ New Roof Low Slope Roof Area (SF) •••• • • •••• • Measured Leakage, Site • .• • • • •• Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Process No. ROOF CATEGORY ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Re- roofing ❑ Recovering ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) 25 to 100 sf Section B (Roof Plan) levels and sections, roof drains, scuppers, and levels, clearly identify dimensions of e • Repair ❑ Maintenance Total (SF) 30ERC SEP 3 0 MO �J . verflow scupp , ;: ,' 'I«` • ' rligaterfisrestUrel ones and location }•f parapets. APPROVED By ZONING DEPT BLDG DEPT SUBJECT TO cOMP'tJANCE wrni ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS • • • • • SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. tL Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose 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 addresse,as pert of the agreement between the owner and the contractor. •..Z.. • Iy ;�`• • Rena!ling wood decks: When replacing roofing, the existing wood roof deck may have to be • renailIdln accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior • • to rerto ding the existing roof system). • • • . • 'Common roofs: Common roofs are those which have no visible delineation between neighboring • ;• • units a , townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or • • • •; owner gbQQld 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 viewectitpm below. The owner may wish to maintain the architectural appearance; therefore, roofing nail • •••• • penetrdtion df the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. P a Pouding 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. 6. Overflow scuppers (wall outlets): It is required that rainwgter flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roofiextensiof 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 reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner Agents Signature Date Revised on 7/9/2009 LD Contractor Signature Date ummary o ■ K. Su merry of seller's transac On 21 0,000.00 '100, Cross amount due from borrower: 101. Contract sales price _ _ "' ��� 210,000.00 _ 400. Gross a nouri{ - due to sielicr: `" • _ 401. Contract sales price 102. Personal property - 402. Personal property 103. Settlement charges to borrower (Une 1400) 14.140.39 403. 104. 404. 108. _ - 405. Adjustments for items paid by seller in advance: 106. City/town taxes 7 Adjustments for items paid lby seller in advance: . 406. City/town taxes 107. County taxes from 09/22/10 to 12/31/10 749.61 407. County taxes from 09/22/10 to 12/31/10 749.61 108. Assessments 408. Assesements 109. 409. 110. 410. 111. 411. 112. 412. 120. Gross amount due from borrower: 200_ 224.890.00 " - - - -' 420. Gross amount due to seller: 210,749.61 Amounts paid or in behalf of borrower: 201. Deposit or earnest money 2 - rit - - -- - - - - - 500. Reductions ess deposit in amount ¢ue to seller: 801. Excess d (see instructions) - - 202. Principal amount of new loan() 207.209.00 602. Settlement charges to seller pine 1400) 17,427.00 203. Existing loan(*) taken subject to 503. Existing loan(s) taken subject to 204. Principal amount of second mortgage 604. Payoff of first mOttgage loan 206. 806. Payoff of second mortgage loan - 206 _ 608. 207. 507. 208. Principal amt of mortgage held by seller 508. Principal amt of mortgage held by seller 209. 509. 209a. Adjustments for items unpaid by seller 210. City/town taxes 809e I Adjustments for items unpaid by seller: 610. City/town taxes -` 211 - County taxes 811. County taxes 212. Assessments 512. Assessments 213. 813. 214. 814, 218. 615. 216. 516. 217. 517. 218. 518. 210. 519. 220. Total paid by/for borrower: 300. Cash at settlement from/to borrower: 301. Gross amount due from borrower (line 120) 209,209.00 224.890.00 520. Total reductions in amount due seller: 600. Cash at settlement to /friom seller: 801. Gross amount due to seller (Une 420) 17,427.00 210,749.61 302, Less amount paid by /for the borrower (rine 220) (209,209.00) 602. Less total reductions in amount due seller (line 520) (17,427.00) 303. Cash ( 0 From Q TO ) Borrower. 16,681.00 603. Cash ( 0 To 0 From ) Seller. 193,322.61 #eOCT 6. 2010 2:39PM 4 1111 A. Settlement Statement (HUD -1) B. Type of Loan 6. File Number 5634 Rlrteon ID: 7. Loan Number 7110922924 ® 1. PHA Q 4. V.A. Q 2. Ri-IS Q 5. Conv. Ins. 0 3. Conv. Unins. C. NOTE:This form is furnished to give you s statement of actual settlement 005ta. Amounts paid to and by the Settlement agent are shown. Items marked "(p.o.o.)" were paid outside the dosing: they are shown here for informational purposes and are not Included In the totals. D. NAME OF BORROWER: Address of Borrower: E. NAME OF SELLER: Address of Seller: F. NAME OF LENDER; Address of Lender. G. PROPERTY LOCATION: H. SETTLEMENT AGENT: Place of Settlement: 1. SETTLEMENT DATE: NInfa Rinoon, A single woman 38 NE 109 Street, Miami Shores, Florida 33161 Ernest Upthegreve and Nora Upthegrove, Husband and Wife 404 Tontana Avenue, Fort Lauderdale, Florida 33301 PHH MORTGAGE CORPORATION 1 Mortgage Way, Mount Laurel, New Jersey 08054 38 NE 109 Street, Miami Shores, Florida 33161 A & M TITLE COMPANY 10900 North Kendall Drive, Suite 100, Miami. Florida 33176 9/23/10 DISBURSEMENT DATE: 9/23110 N0 ; _ 392 P. r v . 2502 -0265 8. Mortg. Ins. Case Num. Phone: 305 - 897 -0202 The Pubilo Reporting Burden for this collection of information Is estimated at 38 minutes per response for collecting reviewing, and reporting the data. This agency may not collect this information, and you are not required to complete this form, unless ft displays a currently vend OMB control number. No confidentiality Is assured; thls disclosure is mandatory. This is designed to provide the artfes to a RE$PA covered transaction with Information during the settlement process. ( Bo Malts): I S R s j r, J ifll(s): I DoubieTime®