RF-11-1401Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 162761
Scheduled Inspection Date: September 06, 2011
Inspector: Bruhn, Norman
Owner: FRANZ, NOEL
Job Address: 1039 NE 104 Street
Miami Shores, FL
Permit Number: RF -8 -11 -1401
Project: <NONE>
Contractor: DALEY ROOFING INC
Permit Type: Roof
Inspection Type: Final
Work Classification: Repair Roof
Phone Number
Parcel Number 1122320290110
Phone: (305)754 -9892
Building Department Comments
ROOF REPAIR
Passed 9 11
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
September 02, 2011
For Inspections please call: (305)762 -4949
Page 12 of 36
LdN Tx(
Miami Shores Village rug o ?nv
Building Department .....
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 131E .............
•"" °" .
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING
OWNER: Name (Fee Simple Titleholder):
Address: /039 /0 94 S7
City: it./f / Sit-Ode-3'
7&oucitrig f- M?JZ
Permit No.0 l l--- t4�
Master Permit No.
Phone #:
State:
zip: 3-3 / 3'
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: /039 � /® V
City: Miami Shores County: Miami Dade Zip: 33156
Folio/Parcel #:
Is the Building Historically Designated: Yes NO // Flood Zone:
CONTRACTOR: Company Name: (.2)/ReY, atePRA014 . /A C. Phone #: c 751/ lef -
Address: %t /t-e- /0k ST
City: Ai/Wm 3HZ2/Z.t--3 Zi
State: /�?-! .33)38
p:
Qualifier Name:
. _... . " - ':. Phone #:
State Certification or Registration #: 6 7 / 0 Cerrcate.of .Competency #:
�t
Contact Phone #: -7-3'/ / t Email Address` s 1'
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ /, ad Square/Linear Foo •e of Work: �
Type of Work: Address ❑Alteration DNew C]Rep.'r' eplace i DDemolition
Description of Wor / lW7't- * 0-Y,0 71 L.- /910 1, L U ' . ,f / 2UICE 02'. D, N-10 ii ,C00-
18-nri (,L, 14C.Ol i%tJ , *OIL (nT / CO f h/6 e‘-ride y tiGFNt /?iE.1Alks 7-FZ'T Ge- C (in1/�
c9�teav P-4 (i'nIZ �ve mac- PA 70, A '4x, : 1Ais c_
oikio.S )9 -w"
j1. M NZ. IA ;;• ' ell t, Y1mf a' o IC liAk, 'n AT E -Kmot. 2{Yt, J Iva Of-Igg
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: „� V fr 79 [ /�7o0 /�1F� .Se7TV w
* *** ae�* e�****** *a�a�e� ********** * * *�xx�+x***** + u**** s�a�a��x�ae�¢ �x��x* * ** *+xu�s�c�** **�n**** * * ******A 1ElNT, l tower v fill
Fees �� g�� ,
Submittal Fee $ Permit Fee $ /0 0 °J CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ - Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ _
TOTAL FEE NOW DUE $
40
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City ' te 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 CONDmONERS, 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 re
Signatu
The foregoin
day of
who is
•�`"'1� .. P'••. AORIANA NUNO
, oeo
a° `I It Notary Public - State of Florida
• I My Comm. Expires
O
# DO 1104730
.1 ;t' It s Bonded Thumb National Notary Assn.
Contractor
owledged before this . The foregoing instrument was ackn9.wtgdged bef
1 V� a`lZ, day of 9osi- ,20 If , by
by
o me or who has produced
1 re - this 1R A
fp
wlio 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:
Sign:
Print:
My Commission Expires: Q
ato
NOT
Sign
Print:
My Commission Expires:
Y PUBLIC: '
VP(
Till
** NSF+ k*tle***NtNsih******+ N**tle**I: *Ht**ih*********M*+ kB*B: ik**+ b*****N:* **d+ *+ k* *detkdeMe ****+b**ek***NsN=***N=+I ** W 11e A 13+ nntD
�f0011'Let 4T1 11V.
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10)
Jun 17 2011 3:27PM
941 - 497 -6325
CERTIFICATE OF LIABILITY INSURANCE OALEY-1
Braun Znsuran Inc.
1872 Tamia m Trail 8. Suite
wiliest EL 34293
Phone. 941-493-1886 Pax: 941- 497 -6325
WIMP
p. 1
DATE (MMIDDIYYYY)
06 17 11
THIS CERTIFICATE 1- I T- UED A- AMA R • • RM TION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC aY
INC
7E! N 18g81140
H S 5E ; 3135
COVERAGES
INSURER PERRY BEREtIIl4 ENBUAANSE ea.
10657
INSURER 8:
INSURER O:
INSURER D:
INSURER E:
THE
ANY
MAY
POLICIES,
POLICIES
REQUIREMENT,
PERTAIN,
OF INSURANOE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD !ROOMED, NOTWITHSTANDING
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOOUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR
TYPEOrINSURANCE
POLICY NUMBER
�A0021.9 -4
.•'" - . .11=11 V'C
06/19/11
• ` e}R71; 1.y9%.1'
06/19/12
UNITS
EACH OCCURRENCE _
4500,000
A
GENERAL LIABILITY
X
COMMERCIAL GENERAL
�:oa
;MA ai� w
450,000
1 CLAIMS MADE X OCCUR
MED EXP (Any one parson)
4 Excluded
PERSONAL A ACV INJUFIT
4a00,000
$1,040,000
4900 000
GENERAL AGGREGATE
EN7.AGGROGATELIMIT
APPLIESPER:
PDU V n � n LOC
PROOU7T8.OdMP)CPAGO
AUTOMOIIILB
mildly
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON - OWNED AUTOS
(COMBINED ) SINGLE LIMIT
$
DILY
((PPerr weanINJURY
4
_
—
( O.Dl4Y IAN IURY
S
-
PROPERTY DAMAGE
(PereceNent)
S
GARAGE
UABILITY
ANY AUTO
AUTO ONLY .EAACCIDENT
$
OTHER THAN EAACC
$
AU ONLY: AGO
E
EXCESS/ UMBRELLALWauTY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
1
DEDUCTIBLE
RETENTION 4
$
4
$
ANOBM
AND EMPLOYERS'
ANY PROPRI
(OFFICER/MEMBER
I ee atory
ISZI4L IS
COMPENSATION
LABILITY
IT RY LIMITS I I OiR
TOR/PARTNERIE7IECUTIVt
EXCLUDED?
E L- EACH ACCIOL'NS
S
In under
ISIS Serge
E.L. DISEASE • EA EMPLOYEE
5
E.L. DISEASE • POLICY LIMIT
5
OTHER
Dl9CIBPT1ON CIF OPERATIONS / LOCATIONS / VBNIOLts I EXCLUSIONS ADDED BY ENDOIeSEAIENT I SPECIAL PROVISIONS
ROOTING CONTRACTOR STATE OT FLORIDA. DANIEL DALEY LICENSE # CCC057190
Miami Shores Village Building
Department
305 - 756 -8972 C/O VIVIAN
10050 NE 2 Avenue
Miami Shores EL 33138
war ••,
SHOULD ANY OR THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THUMP, THE maim INSCRIBE WILL ENDEAVOR TO MAL 30 CUM M1 trriR
NOTICE TO THE CERTIPICATR HOLDER NAMED TO TIER LEFT, BUT PAILURE TO DO 50 SMALL
IMPOSE NO OBLU,ATION OR LIAELITY OF ANY KIND UPON THE INSURER, ITS AWAITS OS
REPREEENTATNEB.
AUTHORIZED REPRESENTATIVE
Noel Brown A032583
-2009 ACORD CORPORATION. All Tfghto reserved.
The ACORD name and Togo are registered marks of ACORD
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWN
CONSIDERATIONS
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
Gi J
�'f''l(
ArtitillintinersefeiteltinaDERAL
STATE AND COUNTY RULES AND REGULATIONS
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. Th froiamer's initial in the designated space indicates that the item has been explained.
1. �1 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 addressed as part of
the agree nt between the owner and the contractor. •
2. Renailing wood decks: When replacing roofing, the existing wood'raof dick ma
renailed in accordance with the current provisions of Section R4403. (The roof d
to removin a existing roof system).
3. Common roofs: Common roofs are those which have no visible deli; •
units (i.e., toymhouses, condominiums, etc.) In buildings with common roofs, the g
owner sho d notify the occupants of adjacent units of roofing to be performed.
n
4. !) Exposed Ceiling: Exposed, open beam ceilings are where the and k. f , o '- cling
• • •;
be viewed from below. The owner may wish to maintain the architectural appeararl , tRereforr, g nail' •
penetration of the underside of the decking may not be acceptable. This provides the option ofmaintaining the
ap ea ce.
5. Ponding 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 fife
expectancy and performance of the new roofing system. Pounding conditions may not be evident until the
original ofing system is removed. Pounding conditions should be corrected.
6. ®/t- Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not
overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if
overflo scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
acco nce with the requirements of Sections R4402, R4403 and R4413.
7. U 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 beneficial to consider additional venting which can result in extending the service life of the
roof.
• •
Revised on 7/9/2009 ID
r�
Contractor Signature D4tatl
-dm/ II
Florida Building Code Edition 2002
HIGH VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATION
Master Permit No.
Section A (General Information)
Process No.
a
Contractor's Name •
Job Address ��i e%/
Roof Category
_ Low slope _ Mechanically Fastened Tile
— Asphaltic Shingles _ Metal Panel /Shingles
Prescriptive BUR -RAS I50
Roof Type
New Roof — Re- roofing _ Recovering
Roof System Information
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF)
Section B (Roof Plan
Mortar /Adhesive Set Tile
Wood Shinglei/Shakes
• •
• • •
• •- •
Total (SF) a ;..
et, iiro
• •
•.•ii•
•
•• ••
Maintenance
••••
•
•• •
• • •
•• •
•
•••• • •
•
••••
•• •
• •
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers; overflow scuppers and•vcrfaw drainns. Inslude •
dimensions of sections and levels; clearly identify dimensions of elevated pressure zones and losation.of parapets. 4
• • • •t
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