RF-12-1752Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 178777 Permit Number: RF -9 -12 -1752
Scheduled Inspection Date: October 16, 2012
Inspector: Bruhn, Norman
Owner: BORATKO, HELEN
Job Address: 700 NE 101 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MURPHY ROOFS
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number
Parcel Number 1132060172220
Phone: (305) 892 -1700
Building Department Comments
ROOF REPAIR
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passe n
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 15, 2012
For Inspections please call: (305)762 -4949
Page 15 of 40
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
Permit Type: BUILDING
JOB ADDRESS: 2 0 CD
r
SEP 12012
FBC 20
Permit No.
Master Permit No. 42 I L'— I 1 S2-
ROOFING
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): {t„, Phone #:
1`o\
City: v1,.„ State:
Address:
Zip: � % e9J
Tenant/Lessee Name: Phone #: 75% 3 Vj ' t'
Email:
CONTRACTOR: Company Name:
Address: f ci 0 7 .-
City:
QuT1ifier Name:
Phone #: ° 1s ` I4 19y
State Certification or Registration #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Zip:
Phone #:
Certificate of Competency #: &° ip-z,
Value of Work for this Permit: $ 4/ Co 6 Square/Linear Footage of Work:
Type of Work: Addition ❑Alteration New air/Replace
Description of Work: ^b- I i Q
/ c, a-. .l x G, =r 5
0
❑Demolition
Color thru tile:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * *u
Submittal Fee $ a, r� . Permit Fee $ CCF $ CO /CC $
hr --
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ y o
Bo ding Company's Name (if applicable)
Bo ding Company's Address
City State Zip
M rtgage Lender's Name (if applicable)
Mortgage Lender's Address
Cit' 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.
"
ARNING 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
NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
CORDING 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
raise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
se property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
prc
wh
for
ins
ection will not be s 'd and a 'inspection fee will be charged.
Owner or Agent
Th fo egoin '.0 trument was acknowledged before me this 1.4
da of v , 20 l' by 1-4.10;
who is personally known to me or who has produced Z)le °
As identification and who did take an oath.
Print: a S
M Commission Expires:
ROVED BY
Signa
Contrac
The foregoing instrument was ackno
day of 54:P1 , 20 �,by
who is me or wh
as identification
NOTARY PUBLIC:
d before me this
roduced
o did take an oath.
Sign:
Print:
My Commission Expires:
II/
Comntlaslon# EE 107516 %... v \,\\
01► ►►n n 110> .
ice- - Plans Examiner Zoning
Structural Review Clerk
(Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007)
RE CrTi,7,7,n
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES S E P 2 2 012
IF RAOT. a
Miami Shores Village
Florida Building Code Editi
High Velocity Hurricane Zone Uniform Permit
Ge
Master Permit No
Contractor's Name 0A,, . J
Job Address
❑ Low Slope
❑ Asphaltic Shingles
U New Roof ❑ Reroofing
C i CCMPI.IANCE WI I1-I ALL FEDERAL
E AND cr i;n
l 1,LS AND cG P(1 ;S
ROOF CATEGORY
❑ Mechanically Fastened Tile
• Metal Panel/Shingles
❑ Prescriptive BUR -RAS 150
ROOF TYPE
0 Recovering
ROOF SYSTEM
INFORMATION
❑ Repair
[] Maintenance
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
Section B (Roof Plan) '2
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scu
include dimensions of sections and levels,: dearly Identify dimensions of elevated -
parapets.
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15. - 2010 FLORiDBURDlNG CODE - BUILDING