RF-09-933 7 �
J J - w J
Miami Shores Village `j �1Ft � I , �tM� y,
10050 N.E. 2nd Avenues r kw
04i
Miami Shores, FL 33138 -0000x
Phone: (305)795 -2204
'F
J Jo,, Expiration: 12107120
Project Address Parcel Number Applicant
215 111 Street 1121360010660
Miami Shores, FL 33168- Block: Lot: PASCAL & MARIE FLEURIMONC
Owner Information Address Phone Cell
PASCAL & MARIE FLEURIMOND 215 111 Street S
MIAMI SHORES FL 33168 -3301
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
HOME OWNER
Total Sq Feet: 0
Type of Work: Re Roof For Inspections please call:
Additional Info: REPAIR
(305)762 -4949
Classification: Residential Available Inspections:
Inspection Type:
Roof Repair
Final Roof
Roof Review
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $ RF -6-09 -34988 $ 111.30 $61.30
,
Education Surcharge $0.20
Notary Fee $5.00 RF -6-09 -34988 $ 111.30 $111.30 $ 0.00
Permit Fee - Repairs $100.00
Scanning Fee $3.00
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $2.50
Total: $111.30
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 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.
June 10, 2009
Authorized Signature: Owner t Applicant ! Contractor / Agent Date
Building Department Copy
June 10, 2009 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 116004 Permit Number: RF -6-09 -933
Scheduled Inspection Date: November 12, 2009 Permit Type: Roof
Inspector: Bruhn, Norman Inspection Type: Final Roof
Owner: FLEURIMOND, PASCAL & MARIE Work Classification: Repair Roof
Job Address: 215 NW 111 Street
Miami Shores, FL 33168- Phone Number
Parcel Number 1121360010660
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
REPAIR ROOF LEAK
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
November 10, 2009 For Inspections please call: (305)762 -4949 Page 3 of 31
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: June 11, 2009 Permit Type: Roof
Inspector. Rodriguez, Jorge Inspection Type: Roof Repair
Owner: FLEURIMOND, PASCAL & MARIE Work Classification: Repair Roof
Job Address: 215 NW 111 Street
Miami Shores, FL 33168- Phone Number
Parcel Number 112136001066
Project <NONE>
Contractor: HOME OWNER
Building Department Comments
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
June 10, 2009 Page 11 of 26
Miami Shores Village
JUN 0 4 U
Building Department Z���
10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 B Y ®m o a
Tel: (305) 795.2204 Fax: (305) 756.8972. 0
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 204
Permit Type (circle): Building Roofing ,r
Owner's Name (Fee Simple Titleholder)
Q' hI 6Phone #
Owner's Address
City / k�V S' State ''`t -- Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO X
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) ` Phone #
Value of Work For this Permit $- '4 V� Square 1 Linear Footage Of Work:
Type of Work: ElAddition DAlteration ❑New 2 Repair/Replace ❑ Demolition
Describe Work:
JW 0 4 PAIC
Submittal Fee $ �/�' Permit Fee $ A CCF $ {�nirr
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
a Bond $ Code Enforcement $ Double Fee $
Structural Review. $. Total Fee Now Due $
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 hereby made t obtain pp y o fain a emit to do the work and installations as indicated.- T certify that no work or installation has
Pe fy
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.....
i
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.
- WARN]N6T0 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 � f`j�d ®i1 i Signature
Owner or Agent Contractor
The f oing instrument was ac wledg befor me this The foregoing instrument was acknowledged before me this
day o , 2, by tit
V1 day of ; , 20 —by ,
who is personally known to me or who has produced who is,personally known to me or who has produced
o identification and who did take an oath. as identification and who did take an oath.
NOT RY PUBLIC. NOTARY PUBLIC:
Sign: �SK,M- n s, - � ' Sign:
Print: Print:
4 fly
My Commission Expires: My Commission Expires:
.
APPLICATION APPROVED BY: Q► Plans Examiner
Engineer
Zoning
(Revised 07110/07)
VILLA. GE OF MIAMI SORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: t° FA's' C, ,, 1 G CAJ.1 Fk_l�_ DATE:
ADDRESS: 1, tJ
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed Pontractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a liocnse. You must supervise the
construction yourself. You may build or improve a one - family or two - family residbnce. You may
also build or improve a commercial building at a cost of $25,000.00 or less. The building must be
for your own use and occupancy. It may not be built for sale - or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, which is a violation bf this exemption. You may not hire
an unlicensed person as it contractor. It is your responsibility to make sure the people employed
by you have licenses, required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under your supervision and must
be employed by you, which means that you must deduct F.LC.A and with- holdings tax and
provide workers' oompensation for that employee, all as prescribed bylaw. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please rood and initial each paragraph.
1. I hold. title to the above property and I am planning on doing this construction
Myself.
Initial � .
2. I understand that as an owner - builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application. Inactive
permits for a period of over 180 days will become null and void (expired)
and a new permit will be required. to be issued for reinstatement of the
permit.
Initial
3. I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. I� understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code — only if the structure meets the
minimum code.
Initial
5. I understand that as an owner - builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of 4n
attorney. The department will not mitigate any contract disputes.
Initial Pr
6. I understand that if I compensate any person or company for work performed
they are requited to halve a business license in the county. If for any reason they
do not posses a business license I will be respoiasible and liable for any wrong
doing from this unlicensed company or person.
Initial
7. I understand that if any person ,gets injured on my construction projcct -they are
entitled to workmen's compensation. - And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
Initial
8. 1 understand that under state and local laws I can not do. any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
Initial 6 B
Was acknowledged before me this day of Z[ t e N , 20
BY fP_-SC _ 4L } �� t t ����� ® l � who was personally known to me or who has
Produced there License or X65 6JC 1 49- 7�-Cd as identification.
G _t
OWNBR MTARY
N y MLTC.STATE OF rLOFJDA
lCl odic V CVhtillos
DCi1Tt9C7�O� VD 7 i 7923
.xi.'re5.P• 23,2011
BONDED THRU A'CIJlNTt6'BCrBLtiG CO.,INC.
{, .. ,nt. )i tii -. ,r�;il t t. r:, t,)I iIlt:� i!ttii �'itfirt '�
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JUN 0 4 2009
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Are Ihtre Gas /aril Slacks located on the roof? , vYes do It yes, what IypeT _ _i Natural _ LPGX
Roof.Systpm Information
Love slope roof area (fi 3 Sleap Sloped area ((l.') S5 _ Total (ft.') a
Section 8 Roof Pia ,-
Skatch Roof Flan: Illustrate all levels and Sections, {oof drains, scuppers, overflow scuppers and overflow dralno. Include dimensions
of'sactions and levels, cleMy Idanilfy dimenalona of elevated pressure zoned and•Iocallon of parapate.
Pprlmater Width (A'. 'Co msr a e (a' x a'):
-----------
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PERMIT : - 33
Miarfii Shores Village
APPROVED -BY DATE
6— t '
ZONING-DEPT ! q.
BLDG DEPT v'! ....
SUBJECT TO COMPLIANCE WITH.ALL FEDERAL ,
STATE AND COUNTY RULES REGULATIONS;
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Product ,Approval N nber: •
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�a.x�i:rrurn f�'�sig:rl �r`ess•�.:re - �,
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irlstr'ucttott performatice, stand ards. Aesthetics (appcarance};M:MCt a consideration with•.
respect.to workmanship provisions. Aesthetic issues such �s color or aro,iite Krral 0.00••
appearance, that arc not part of a zoning code, should be act AO as part the. aggter11�Qt
between.the owner and the contractor. 0
z• Renailing w6od declt•S: When replacing roofing, the existing wood.roof deck
may have to be renailed in accordance with the current provisions of Section R4403. (The
roof deck is usually c(rlcealetl prior to rernoving the existing roof system).
Jt
Co rnrnon roafs: 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-
occuparits of adjacent
units of roofing to be perfarmed:
4• __r� llxposed Ceiling: Exposed open beam ceilings are wh,'ere the underside of the.
roof decking can be viewed from below. The owner may wish to maintain the architectural
appearance; •therefore,• roofing nail penetration of the underside the. decking* may not 116
acceptable. The provides the option of maintaining the appearance.
S. tj 0 - Ponding W* ater; The current roof system and/or. deck of the building may not
drain well and may cause water to pond (accumulate) in fow -lying areas of the roof.
Ponding can bean indication of structural disfress 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 riot- be evident until the original roofing
syst errf Is remo'ved'. Ponding coilditiiins should be corrected.
6. P { oy _Overflow scuppers (wall outlets): It is required that rainwater flow off so that
the .roof is not overloaded from a buildup of water. PerimeterMdge wall or other roof
extension inay bloA this discharge if Over'rlotu sC,uppet:s (wall outlets) are not provided. It
may be nee.es to install �o ve o verflow scptppers in "W40rdance with the requirernents of
_r:
tions R li.440 3 at id R 441
7. P- 1 : 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 xeduccd. It may be beneficial to consider additional
venting which sari result in, extending the service life of the roof.
Owner /Agents Signature Date Contractor Signature
Date.
Inspection Worksheet
Miami Shores Village L
10050 N.E. 2nd Avenue Miami Shores, FL G /
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 116866 Permit Number: RC -6 -09 -993
Scheduled Inspection Date: February 25, 2010 Permit Type: Residential Construction
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: CALHOUN, SHELLACE Work Classification: Addition /Alteration
Job Address: 10610 NE 10 Place
Miami Shores, FL 33138- Phone Number
Parcel Number 1122320280820
Project: <NONE>
Contractor: DOWER CONSTRUCTION INC Phone: (305)986.4999
Building Department Comments
BATHROOM REMODEL (2 BATHROOMS)
Inspector Comments
PasseW
r ec_-
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 25, 2010 For Inspections please call: (305)762 -4949 Page 2 of 25