RF-11-1319Inspection Worksheet
• Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 162307 Permit Number: RF -7 -11 -1319
Scheduled Inspection Date: September 06, 2011
Inspector: Bruhn, Norman
Owner: BESSON, GEORGE
Job Address: 390 NE 98 Street
Miami Shores, FL 33138 -2410
Project: <NONE>
Contractor: EVANS ROOFING
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number
Parcel Number 1132060135670
Phone: (954)566 -5238
Building Department Comments
INSTALLATION OF 310 LNEAR FEET IN GUTTERS & 9
DOWNSPOUTS.
Pessetl,144A
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Cci
September 02, 2011
For Inspections please call: (305)762 -4949
Page 10 of 36
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
BUILDING
PERMIT APPLICATION
FBC 20
Permit
Master Permit No.
JUL 2 1 2011 J
BY: ......... .........
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): �`� vc.) �� —boa Phone #:
Address: 70 D1 97 or
City: �og/4; .P.e, , State: ,// Zip:
Tenant/Lessee Name:
Phone #:
Email:
JOB ADDRESS:
3O De 9,?:%1
City: Miami Shores
Folio/Parcel #:
County:
Miami Dade Zip:
Is the Building Historically Designated: Yes
NO , Flood Zone:
CONTRACTOR: Company Name: •"fr'71-1-< ,zo f /c.J) Phone #:
Address: 2
City: 7,01,/ State: Zip:
/ �'
Qualifier Name: f iw�% e vc Yo Phone #: 3,,-,r- ,y5k - V2 U�
State Certification or Registratidn #: ('ee.- /224 2 'L Certificate of Competency #:
Contact Phone #: 'VC* 32 y y2 ?..1 Email Address: V £ `J s ,,x -( 43 Y0A-.0 _co-.4
DESIGNER: Architect/Engineer: (.) Phone #:
O Value of Work for this Permit: $ /.k.0 -.. Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration Cligew 114 air/Replace 9
Description of Work: /2,1/4/ ' ' 5L T( APc� �� - h `UJ2:
❑Demolition
***** * ** * * *** * * * * * ** x**** *** ***** **** * *Fees***** * * * * * * * *** *** * * * * ** * * * * * ********* * ***
Permit Fee $ /00 e>6 CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Submittal Fee $
Scanning Fee $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ (O • E
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. 1 n
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this .r.ery The foregoing instrument was acknowledged before me this' '
day of �i , 20(, , by , day of .-12,1) , 20L, by
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:
Signature
Contractor
NOTARY PUBLIC:
* * * * * ** * * ** * ****** * *** ** *** ** ******* * * ***** *** * *** * *** * * * * * ******* :**** ****** **** ** **** * * * ** *:****:nix ****
APPROVED BY
70 73 � Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Clerk
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ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
31q
Florida Building Code Edition 2
2Jlgh- Velocity Hurricane Zone Uniform Permit Applies
Master Permit No. Process N
Contractor's Name
Job Address
UBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND RFGIJLATIONS
O 0 c
❑ Low Slope
❑ Asphaltic
Shingles
❑ Mechanically Fastened Tile
❑ Metal Panel /Shingles
❑ Prescriptive BUR -RAS 160
ROOF TYPE
❑ New Roof ❑ Reroofing ❑ Recovering
ROOF SYSTEM
INFORMATION
Low Slope Roof Area (SF)
❑ Mortar /Adhesive Set Tile
❑ Wood Shingles /Shakes
❑ Repair ❑ Maintenance
Steep Sloped Roof Area (SF) Total (SF)
SPCtion R (Roof Plan) CA) FA- I 4I � 1
Sketch Roof Plan: Illustrate all levels 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
parapets.
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FLORIDA BUILDING CODE — BUILDING
DL9 s \)131(1-)i)
E->04k,e, &-dc
08/30/2011 12:30 9545617776
EVANSROOFING
CERTIFICATE OF INSURANCE
rionniER .. .
PATRIOT RISK SERVICES, INC
200 F AROW RD BLVD SIaSTA 2000
PT LAIDERDALS P1.933Q1
944 - 927 4000
iWataw- ••••,r . .
Uutvurd Levine Inc LICIF
•Oevova U.SINc4k Avant, Roofing
6302 Mimics Menge Wept $vjtc IC
fraueptan $I, 34209
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CAIN IIMAIDWWYYD
. 31zS /2011
THIS CERTIFICATE 16 tS9UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIOI$T9
UPON TAR CERTIFICATE NOLOGR. TMIS CERTiFIG6Te DOES NOT AM P4O. EXTEND OR ALTER Mt
cavERADE AFFORDED BY THE POLICIES OPION/.
INSURERS AFFQR0110.COVERAGE
INtilfEBft A: ' QVACIA14TRE '114sUBANGP CO.
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