RF-11-2277Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 167510 Permit Number: RF -12 -11 -2277
Scheduled Inspection Date: December 20, 2011
Inspector: Bruhn, Norman
Owner: ANDREWS, BRIAN
Job Address: 165 NW 96 Street
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: DALEY ROOFING INC
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number
Parcel Number 1131010250130
Phone: (305)754 -9892
Building Department Comments
ROOF REPAIR
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 19, 2011
For Inspections please call: (305)762 -4949
Page 17 of 27
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 Type: BUILDING
OWNER: Name (Fee Simple Titleholder): 19' 1/l 0 The
Address: C (.0 S- MA) q cj 1
Permit No.
Or, --dedant
Master Permit No.
Phone #:
City: iu j N11 Si -- ibe3
State: t't--
Zip: 33/-1-3
�... Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: /(9: /1./ i J 9co S+T
City: Miami Shores County: Miami Dade Zip: 3 3) St)
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone: AD
CONTRACTOR: Company Name: N 12-40041 ^3E1 I
Address: --.1ge I LE /
City: / ?/ (5i'%LC —fe -} State:
Qualifier Name: ,9'N t1.■ 0-9_240 \�t�
State Certification or Registration #: S -71"0
Contact Phone #: J��J
Phone #: 7SV / ' d—
Zip: 3� 3
Phone #: 7%-t-/ 9 MD--
Certificate of Competency #:
Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ s ' 0
Square/Linear Footage of Work: �e/�
Type of Work: Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: (2 jgiz. g ( I J AMT m
'O //V 6J never" _ w :. ' oval
a L4Rk4 n r elaprrr (bt, i ealctiCfl6C vecTITO niCoO
i sN9-c-L A,0%) V 77 LE: G —x,.L 11,1=-7D 1sq 7
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by:
* ** * * * * * * ** *spa *** ** * * ** * * * **** *�x**** Fees******** a�x�******** �xr� ea�e�********a�+aa�a�a�********
D
Submittal Fe • ��'p Permit Fee $ /6 o ca
CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1, Q ?• 2-o
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 OE-
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such po ed notice, the
inspection will not be approved and a reinspection fee will be charged. d14 rde 7jr /41(77" " "�
Signature �o �A�G/ZOA71 „y
Signature
Owner or Agent °-T 41aA2 ef - 411275 �Crontrac •.
The foregoing inst ment was acknowledge before me this The foregoing instrument was ackn • ledged before me this
day of A t , 20 LL, by /L,Z/O , day of , 20 _, %y
who is personally known to me or who has produced who is personally known to e or who has produced
NOTARY PI
Sign:
Print:
As identification and who did take an oath.
TG Novo - 2YO-7O 02 7 -O
/54 +w 7 /,/Zo /o 7 77/70/x•
vb ��%
Ifacao/ 4-1.70 'vs HOWARD H. MILLER
e' NOTARY PUBLIC • STATE OF FLORIDA
COMMISSION # DD 908943
0 COMMISSION SIRES 07/2013
My Commission Expires:
as i s ntification and who did take an oath.
NOTARY P > : LIC:
Sign:
Prin
y Co
***** *MY**** kb dbbks kxLkB* dNM**** Bb ksdtl$ 80b**** 64 NPHY***,+ dAtl6 N*******, b9 kNN RFANtlh$kNkk Nr O l !A!. R!Y PUBLIC
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APPROVED BY ‘07/71-1.--f(' Plans Examiner V, d ..
Structural Review Clerk
(Revised 07/ 10/ 07)(Revised06 /10/2009)(Revised 3/15/09)(rev6 /4/10)
Florida Building Code E
HIGH VELOCITY HURRICANE ZONE UNIFORM R
7s
Section A (General inft.
®Ec 0 7 2011 faster Permit No. Pr
Contractor's Name 2:)/4-1e7 AyvclAi
'Job Address
Low slope
/oStih) 910-
_ Asphaltic Shingles
Roof Catego
_ Mechanically Faste
Metal Panel/Shingles
iresvarlfwe
DOPNdiiiiii& iffiLicATton
rmationj Miami Shores Village
0,/ED
BY
DATE
/-.,4
Cj 1G DEPT
BLDG DEPT
A
/24'`(
SUBJECT i O CCMPLIA■CE WITH ALL FEDERAL
STATE AND CGUN'iY L ULES AND REGULATIONS
_ Prescriptive BUR -RAS 150
Roof Type
Re- roofing _ Recovering
Roof System Information
z,/ Kepair
Steep Sloped Roof Area (SF) Total (SF)
Section B (Roof Plan)
Mortar /Adhesive Set Tile
Wood Shingles/Shakes
�n 5f
Maintenance
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.
I--l- I
-..-. � .ate..; Y. ;
I i i - :..._1. -.
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SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTWI: ICATION FORROOFING =-
CONSIDERATIONS
R4402.13.1 Scoff. As it perms to the:sectton, it is the mspormibility of roofing contactor topnathe our
wi h the :required -mofing permit, and to ern to the ownerthe content of the sin. Th :: pmeittms of S
R4402 pam pantie minimum naquiremerts and standards of the industry ter roofing system `installations.
Additionally, the blowing .itensshouldbeadd—s as part of the agreement betweenthe.ownerantthe.
contractor. The owner's initial in the designated space indicates that the item has been expiable:.
Aesthetics- Workmanship: the worrt:mmaansttip provisions of SectionR4402 am foie purposeof
ng that the roof system meets the wind rye and water instnetionpatormance ids.
r , ) me not a consideration with respect Provisions. Aestimik issue
stch as coke- er arch 1, - Ter- M-, 1 t= a 1 a a l,' i ae �; i ia1 1 4 f as
the agreement between the owner and the contractor.
1.
Retailing wood decks: When :rephiciry tooling, the existing wood roof + mar tebe=
in accordance wit the curretrtpmvistons of S fion.R4403. ('Tare roof - deck `is usualiyouncealetprior
the existing rood system).
3. common• roofs: Common loafs are those which have no n let en neig`hboringr
units r:a., butanes. condominiums, etc.) In buildings wit common roofs, the r rg contracbOr andIo
owner should n biy the tents of adjacent units of tooling toie{erfonned.
C e f l i n g : E x p o s e d , o p e n beam c e i l i n g s m e whew t h e and ide of the mof ecki i
ice':.
from below. The car may wish to maintain the architectural appearanta; twain, TOofikunal
of the underside of the ded d g may nOt be acceptable. This provides Om option ofnfai :
fiance.
. :: ° coding water. The current roof system and/or deck of-thebulking :may drat well and may
a 1 uwater to pond (accumuiatb) in low-lying areas of the :roof. Pounding can be at nof
and may require. the: review of a professional structural engineer. .Poun may shNten :the lift, -
expectancy and perfomance ofthe_newroofing system. Pounding conditions :may not beeviderrbtudil the-
original .rootmg system is removed. Pounding conditions shoUtio corrected.
(
ow scuppers (wall outlets): ft is r aatr tuner offs- thus roof isnot
from .a buildup of water. Perimeter/edge wail or other roof extension may block this discha rge f
scuppers (wall outlets) are not provided. It may -be necesany to instei overflow scup= in
accordance with the rquhementsof Sections R4402, R4403 and R4413.
/V\-- ration: Most roof struck should have some alert to vent :name, airitowthrough the
of the structure assembly (the building itself). The existing arrmunt of attic ventlialkeshall not be
red ati, . It_ maybe beneftcild .to consider additional venting which am twit in extending the meow "fifeofthe
Ef7t/ {.
iZ 1 /Z6li i4 t /t'
Agent's Signature Date Contractor Signature
Revert on 7/9/2009 LD