BP-05-1318Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 04/04/2006
Inspector: Grande, Claudio
Owner: DELEON, CATHERINE
Job Address: 841 98 Street NE
Miami Shores Village, FL
Project: <NONE>
Block:
Contractor: DALEY ROOFING INC
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Roof - Repair
Phone Number
Parcel Number 1132060142490
Lot:
Phone: (305)754 -9892
Building Department Comments
Monday, April 3, 2006
Page 1 of 2
1-t
Passed
•
Inspector Comments
iz,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, April 3, 2006
Page 1 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
SEP.1
IMP Alta LSO MIR SOW Ma
Permit No. R 6 — 1318
Master Permit No.
Permit Type (circle): Building Electricaa Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) L6thei/J i /�s LL(Th / Phone # SOS— 737.0 75
Owner's Address J A%
City LJ/ ‘ I.f/Ye S State
Tenant/Lessee Name
Zip 3 3.)31
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
/ kJ& lg
Zip ,f
Contractor's Company Name ✓ > 200 4/1/1 144 C Phone # s G 7-� T '9I9
Contractor's Address 7,f ' ,f 4J /Ole
City in j'r/jf i UY State Zip :-33/3
(1�
Qualifier ba a
State Certificate or Registration No. 5Z2_g® Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Phone #
$ Value of Work For this Permit c 94 7c-
Square Footage Of Work: ,L- ( )
Type of Work: ❑Addition ['Alteration DNew Repair/Replace D Demolition
Describe Work: W a ■ tom- �, - 0/J / ?%%o J - Moos/ /f,O°
509 -1. FQ,67EZS po 17f leioch `tom CEm crce p
,6,O 4) 776E fw 77-1 £m E
************************Fees******************************
Submittal Fee $ Permit Fee $ loo-e.. CCF $ 1 . CO /CC
Notary $ 5 . Training/Education Fee $ 0 . ,O Technology Fee $ 2
Scanning $ Z. 00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ J 12. CIO
(Conti nue edon opposite 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 posted notice, the
inspection will not be approved and a reinspectigrl'f e will be charged.
S ignatu_r
Owner or Agent
I The foregoing instrument wa a owledged before me this q-
O
,day ofi
,206 ,by (IiI4f1VLQ3 Oetcy), .
who is personall wn to me or who has produced
As identification and who did take an oath.
;NOTARY
Sign:
Print:
My Commission Expir
Signature
nviwiLt,
Contractor
The foregoing instrument was acknowledged before me this
day of ,20_,by
who is personally known to me or who has produced
as identification and who did take an oath.
label Varg8`QTARY PUBLIC:
Sign:
Print:
My Commission Expires:
************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
r� #:)2°19
°`Exim-e�s Jul 13,20P`
A11 in9ir Bonding Co
*************************** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
**
* * ** * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
a � bI
1
Plans Examiner
Engineer
Zoning
Page 1 of 1
boater Permit No
riMrserViliaintir14
QLow Mope
❑ Asphadc steles
BUR-R AS 150
Roof Category
0 Mechadedy Fasted Tte
❑ Metal PansUShingles
Q Other:
1
❑ - :..,;' Adhesive Set The
❑ wood Shirdlesamices
Roof Type
0 New Roof. Q ❑ )(ReP*
Are Mete des Vent Stacks located on the roof? 0 Yes ❑ No If yes, what type? 0 Mural ❑ LPGX
• Roof System Information
Steep Sloped area (R.91 j Total (L1)
Low slope roof area (R.")
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SIDERATIONS
•0SS • • •
1 As I peados for Ms seam. A is the tespenstally ado rodkog entlasbr to peak So annervdth Ste
rented wafts pent fp pommy the cartard at this sedan.. The praddrent of Chapter 15 at
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woken instilationsr ,' Inns should be addressed as pad-dee lammed Winn ate
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4. ate► edam to Induside ante ,Host &Meg out be
dewed ban ban. The aeon nay visit to eniddn Are Indescbstal appennen, Stenalne, roam ma
penebathons of An undsside of the not be aeceptribla The
wan noirdeliting arts
5. Panding 11 reef sydem ander deck of the bidding Ireg net drab led red any
ORM water to pond (aa in lan4gies areas at the met Pending can be an inendon df Crated
abase and any sranie tits Emden of a "and abletnal agleam Pamfre nay Ogden Ste Re
entedency and pedarmenee otete new twang system Pardng eandlans may Hat be mddent the aigInal
melee Is menet Penang eervidons Amid be conseted.
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D5 -(15
Permit Number
Ror.112012005.Cattputer Swims, &atm Divestment
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 10 /5/2005
Building Permit
Permit Number: BP2005 -1318
Page 1 of 1
Applicant: CATHERINE
Owner: DELEON
JOB ADDRESS: 841 NE 98
Contractor DALEY ROOFING INC
Local Phone: (305)754-9892
Parcel # 1132060142490
DELEON
CATHERINE
ST
Contractor's Address: 78 NE 106 ST
Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10-37 LOTS 16 & 17
BLK 72 LOT SIZE
Fees:
FEE2005 -13205
FEE2005 -13206
FEE2005 -13207
FEE2005 -13208
FEE2005 -13209
FEE2005 -13210
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$1.80
$5.00
$0.60
$2.50
$3.00
$112.90
Total Fees: $112.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 3/11/2006 Construction Value: $2,475.00
Work: REPAIR LEAK AREA ON PATIO ROOF
11_
Gig
Signed: (INSPECTOR)
In conslderatlon 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 responlsibility for all work done by either myself,
my agent, servants or employes.
Signed: (Contractor or Builder)
BY: