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RF-07-1970Project Address ...... ............................... 53 NW 109 Street Miami Shores, FL 33168- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Permit Issue Date: 9/24 /2007 Permit NO. RF -9 -07 -1970 Permit Type: Roof Work Classification: Roof - Repair Permit Status: APPROVED Expiration: 03/22/2008 Parcel Number 1121360030280 Block: Lot: Owner Information ANGELIQUE GRANT Address 53 NW 109 Street MIAMI SHORES FL 33168- Contractor(s) DOUGLASS ROOFING INC Phone Cell Phone (954)275 -1187 (904)814 -7659 Phone 305 - 322 -1950 Valuation: Total Sq Feet: Type of Work: Repair Additional Info: 20 TILES Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Repairs Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $100.00 $3.00 $2.50 $107.10 Total I Amt Paid I Amt Due $ 0.00 $ 0.00 $ 0.00 Payment Type: SEP 2 +i PAID Applicant ANGELIQUE GRANT Available Inspections: Inspection Type: Final Roof Roof Repair 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 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 laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy September 24, 2007 Date CeII $ 2,000.00 0 Monday, September 24, 2007 1 REPAIR TILE ROOF LEFT OF ENTRY DOOR WASH ROOF POWER Passed D I spector Comments my Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -62176 Permit Number. RF- -07-1970 Inspection Date: 10/23/2007 Inspector: Grande, Claudio Owner: GRANT, ANGELIQUE Job Address: 53 109 Street NW Miami Shores, FL 33168- Project: <NONE> Contractor: DOUGLASS ROOFING INC Building Department Comments Monday, October 22, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - Repair Phone Number 305- 322 -1950 Parcel Number 1121360030280 Lot: Phone: (954)275 -1187 Page 2 of 2 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 2� Oil i N BUILDING Permit No. k+ )q PERMIT APPLICATION �J q Master Permit No. FBC 2004 Permit Type (circle): Building Electrical Miami Shores Village Building Department Owner's Name (Fee Simple Titleholder) Ja 1.19-el ifit 1.1 Phone # 36 5 3 . Owner's Address -5 g 1 1 ®Q gg City ■ t a re\ \ State k Zip 1 C Tenant/Lessee Name ij / A Phone # ii / A. Job Address (where the work is being done) ui t ® q City Miami Shores Village County Miami -Dade FOLIO / PARCEL # [� Q Is Building Historically Designated YES NO X Contractor's Company Name q ICI S S (5 © v„. Phone # G' 5 a 1 1 & 7 Contractor's Address 1 14 S u_i q O RN) City'y��\ f' State c \ Zip ' 3 v` 5 Qualifier Name It. Gil cvei o \ 04, s S Phone #_24gt 96 RP/ 76 :i 9 Certificate of Competency No. C, d (, /3a 1a 7419 State Certificate or Registration No. Architect/Engineer's Name (if applicable) Ai/ Phone # 1 x6 Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Q. . r Submittal Fee $ DAlteration Permit Fee $ Plumbing Mechanical Square / Linear Footage Of Work: Zip ;5 3 Lo Repair ; ` eplac , ❑ Demolition * ***** ***,r** ** * # * *** **** *** * ** *** * * * **F # rat ***** * * ********* * * ** *,r* *** *** * * * ** * *** * ** ** CCF $ 1 (00 CO /CC / 1 - 7 %" Notary $ Training/Education Fee $ t (�J Technology Fee s 1 Scanning $ ' � co Radon $ DPBR $ Zoning S Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 10 I. 0 See Reverse side -+ i i2CMUVE - 1 SEP 1 9 S1, BY: -- - - - - - -- q5O Bonding Company's Name (if applicable) - Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) v\.1 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 wi be approved and a reinspecti, fee wil be charged �t� 0 f,. gent The foregoing instrumei was acknowledged before me this W day of Sep , 206_ by ,� p who is personally known to me or who has produced " brv'el P.c L. As identifi NOTARY PUBLIC: Print: -e_C r 1.e L. "\) o.r, l o r ever* * -Q r1 My Commission Expires: J, q ..a Sign. APPLICATION APPROVED BY: (Revised 02/08!06) Notary Public State of Florida Sherrie VanTongeren MySommission DD380485 xpires 12/19/2008 Contractor The foregoing instrument was acknowledged before me this 9' i eh day of � 20 01, by f q r� � i1)®tcg `e ss who is personall .. . own to me or who has produced as identification and who did take an oath. NOTARY PUB Sign: Print. S- .err . -c. L U I n. et 43.- -e r' My Commission Expires: 1 a^ I t - `a o g/r Not ry Public State of Florida Sherrie VanTongeren My Commission DD380485 ires 12/19/2008 Plans Examiner Engineer Zoning 9t�., a1�� i s f og P f . _...�. i -1 M amp S'nc a s v- =gS APPROVED BY DATE ZONING DEPT BLDG DEPT IMAII SUBJECT TO COMPLIAN' E WITH ALL STATE AND COUNTY RULES AND REGULATIONS FEDERAL Sep. 1 z 0` 30AM oa. ev• xa er h a eso ee5 7530 BY: m. As it pertains to the se:tion, ii is the responsibility of mating erinuacter to provide the owner nem roofing peewit, and to explain to the o the content of *emotion Tk provisions of Section govern the minimum requitement and standards of the industry far roofing system installations. ns. ditinnallY, de renewing heats *mild he at/dreaded as pan of doe agreomentaeneeen the owner ant the contractor. The owner's 'initial in etc designated owe indicates-that the item has been oxplaincd. Aesthctiet- Worhutanship: the workmanship provisions of Section R4402 ere for ose of providing that the roof system meets the wind resistance and Water ietatruction performance standards. Aesthetics (appearance) arc 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 he addressed as pan of the agreement owner and the cam. Recalling wood decks: When replacing roofing, the existing wood roof deck roe ° ave to be [ensiled in accordance with the curl ens provisions of Section R4403. (The f deck is usually concealed prior to removing the existing roof system). / Common roofs: Common toufa are those which have no visible delineation ''er neighboring emits (i,t., townhouses, condominiums, etc.) In buildings with COMM roofs, the roofing contractor andfdr owner should notify lie occupants of adjacent units of r• r ug to be perfomted. 4. ,� " ' vomit Ceiling: g Exposed, open beam eeilktv am where the underside of the roof decking can be viewed from below. Ile owner may wish to maintain the architect.urel appearance; therefore, roofing nail peiretration of the underside of the decking may not be le. The provides the option of maintaining the S. re r Pending water The current roof system and/or d...k of the building may not drain 'r 11 and may cause water to pond (accumulate) in low areas of the roof. Pending can be an indinatien of structural distress and may trsgedre the review of a professional stcachual engbieter. Pending may shorten the life expectancy and performance of the new roofing system. Pending conditions stay not be evident until the original roofing ed. Pending conditions shouit he conectei. Overflow scuppers ( wall outlets): It is :dried that rainwater flow off so that the roof is not overloaded nom abuitdup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (welt outlets) are not provided. It may be necessary to install overflow sepppets in aceordance with the requirements of ons R4402,1(4403 and R4413. DATA SCAN FIELD SBRVICBS SRCTION 8.4402.13 OCITY HURRICANE ZONES — REQUIRED OWNERS NOTI?rICA` I FOR ROOFINC CONSIDERATIONS 1 ) di "" Ventilation: Most roof strueoires should have some ability to vent natural airflo .i h the lateerior of the structure ably (the building itself). The existing • amount of tittle ventilation shall not be reduced. it may he beneficial to consider additional mg w p can /41 t , wine life of the ring'. 1 4.11.4.1 Contractor Signature No. 3119 MET. Date SEP 1 9 AN ROOF ASSEMBUES ANO ROOFTOP STRUCTURES rmennate ❑ Low Slope ❑ Asphaltic Shingles Low Slope Roof Area (SF) Florida Building Code Edition 2004 High- Yeloclty Hurricane Zone Uniform Permit Application Form. )5 Section A (General Information) Master Permit No. Process No. Contractor's Namee b A u a SS R R 6 cA 04 C._._. Job Address a 3 1..v .k.) 1 0 S , AN N . \ Vii_. l Lo S' ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR•RAS 150 ❑ New Roof ❑ Reroofing ❑ Recovering Steep Sloped Roof Area (SF) Total (SF) Section B (Roof Plan) Sketch Roof Plan: illustrate all revels and sections, roof drains, scuppers, overflow scuppers and overflow drains. include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of ROOF TYPE ROOF SYSTEM INFORMATION EiN4-e\c 0,4)0 Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes 0 Maintenance ROOFING Office: (954) 275 -1187 Fax (863) 956 -9727 • (954) 499.4441 Proposal Submitted to A 4 LI 4- 42,4 -0/ Job location (street City, State and ZipCode) 01 . i ,4 -0•1.t SHINGLE ROOFS Remove existing'shingle roofing. Re4elt roof deck with 30# roofing felt and tin tabs. Dispose of debris at no charge to you. Irk new pipe flashing, valley metal, and eave drip metal. Install your color choice of (WOOD REPAIR $Z50 PER FT) 025 year, (3-tab)$ ❑ 40 year,larddtect) S Color dta#ce Total Squares ❑ Turbine or❑Rldgevant FLAT ROOFS Remove and replace flat taming with modified bitumen, white granulated, flat roof system. ❑Flat roof system $ Tonal squares: METAL ROOFS Remove existing roof system. Refelt roof dedcwith 30# roofing felt &tln tabs. Dispose of debris at no charge to you. Install a fire barrier, new pipe flashing, valley metal, roof vents, and eve difp Install metal panels in your color choice. MetaMpe Color Choke: Total Squarer ACCEPTAN authorized to do Signature 1814 SW 98 Ave. MIRAMAR, FL 33025 PROPOSAL FL State Certification License #CCC1326749 AND ACCEPTANCE douglassroofng @yahoo c om CORP. 866- 766 -3922 www.metalttleroof.com DATE: 7 2. -- 0"7 nature Phone rmated OS - 5 1 c S , a tr?ate I r I- . ova ROOFS £ oA � Roo F &boe P er car 4, 11 1 -S I "el:0 foe-iy; 67 ®E 4 I o hereby propose tofirn t penults, materials, and labor in accordance with above r tions. Payment/s as idiom g esiesii trios- r . e 1 j ALLWONNANSHIPISIVARRIWIEDFORTIVOYEARS. All work wlll be completed In a workman -IIke manner acceding to standard practices. All material Is guaranteed to be as speared. Any alteration or deviation from the af ns imrolvIng extra costs will be executed only upon written orders, and will become an extra charge over arul above the above proposed amount All agreements contingent upon strikes, accidents, or delays beyond our control. Owner to carry fire, tornado, acrd other necessary insurance. Our workers are fully coveted by Workmen's Compensation insurance. Douglass Roofing Signature: PROPOSAL The above prices, "cation, and conditions are satisfactory and are hereby accepted. You are be ` • , - outlined above. Owner authorizes Douglass Roofing, Inc.to act as agent on all ;fit! s Ived with permitting. 1