RF-11-1923Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 168744 Permit Number: RF -10 -11 -1923
Scheduled Inspection Date: April 03, 2012
Inspector: Bruhn, Norman
Owner: GOODMAN, DANIELLE
Job Address: 9650 NE 5 Avenue Road
Miami Shores, FL
Project: <NONE>
Contractor: MURPHY ROOFS
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number (305)469 -0464
Parcel Number 1132060170160
Phone: (305) 892 -1700
Building Department Comments
REPAIR TO TILE ROOF OVER FRONT DOOR
Passed ii4f
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 165631. Roof structural repairs
required.
Provide an electrical permit. NB
April 02, 2012
For Inspections please call: (305)762 -4949
Page 5 of 27
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
C ti` r /" INSPECTION'S PHONE NUMBER: (305) 762.4949
BUIL G Permit No. r-Ci 1 — M
23
PERMIT APPLICATION Master Permit No.
OCT 1 9 01 i
FBC 20
Permit Type: BUILDING ItOOFING
OWNER: e (Fee Simple Tititleholddeer))tZ :,L ti� le- G Mw/
Address: I (0 5D N �1 I. ")1- -° itveme g
City: L1 au) 5mf -6
Tenant/Lessee ame:
Email:
Phone #: (, )'1 1 O4Wy
State: ' 1 zip: 3313g
Phone #:
JOB ADDRESS: 9 to5b N '0-11 Av-otrue
City:
Miami Shores
County:
Miami Dade
Zip: 33 13 O
Folio/Parcel #:
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: /pq e42.1-7
City:
NO ✓ Flood Zone:
Qualifier Name:
State:
Phone #: °
Zip:
Phone#:
State Certification or Registration #: Certificate of Competency #:q2.--g `?
Contact Phone #: .1 Address:
Phone #:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ �'S� Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration
Description of Work:
❑New
CJ1 epair/Replace
❑Demolition
* **+ x********+ x +x*********** *******m**** ** Fees****+ x*******+ x******** ***x :******x:+xa:***+x******
Submittal Fee $ X�7-4�_ Permit Fee $
Jo
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $
CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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 s .'ection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this l 4
day of , 20 1 t , by 44 Z N (L_._l 55 ,
who is personally known to me or who has produced ru-p
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ;' •••‘ , q, ' , ; ', - % k'4 ' •
-7 C°'
** ** x***+x+x+x+ + x**** ***** ************ * ** ** a l l" w, 4*** *** ******: x******** ****+ x* ******** * **************:x*****
J/a. '/ Plans Examiner Zoning
111111(///,.
S, / /�, //
�•; •
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.
NOTARY PUBLIC:
0
My Commission Expires:
Sign:
Print:
My Commission Expires:
APPROVED BY
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
ROOF ASSEMBUES AND ROOFTOP STRUCTURES
pr.-7,7773n
()(; 9 1 201i
Miami Shores village
APPROVED BY
ZONING DEPT
Florida Building Code Editi n?EPT
High - Velocity Hurricane Zone Uniform Permit Api< plication Form.
,1111,1 ( :1 TO COMM IANCE WITH ALL FEDERAL
Section A (General Information)r n ;ri ry 1-u It FS AND REGUI ATIONS
DATE
odAlt
Master Permit No. Process No.
Contractor's Name e ' t ' a
Job Address TO
❑ Low Slope ❑ Mechanically Fastened Tile Mortar /Adhesive Set Tile
❑ Asphaltic
Shingles
❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes
❑ Prescriptive BUR -RAS 150
ROOF TYPE
❑ New Roof 0 Reroofing ❑ Recovering
ROOF SYSTEM
INFORMATION
Low Slope Roof Area (SF)
0 Maintenance
Steep Sloped Roof Area (SF) Total (SF)
SertiOn R (Ronf Plan)
Sketch Roof Plan: Illustrate all levels and ections, 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. -
11611'®1!
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