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RF-12-1753Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 178780 Scheduled Inspection Date: October 16, 2012 Inspector: Bruhn, Norman Permit Number: RF -9 -12 -1753 Owner: WILLINGHAM, HOWARD Job Address: 1158 NE 92 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 1132050270440 Phone: (305) 892 -1700 Building Department Comments SMALL ROOF REPAIR Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 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 17 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 No. Master Permit No. „LAVED SEP 21 ZO1Z, FBC 20 Permit Type: BUILDING ROOFING JOB ADDRESS: //-5-3. A74:- 7 a? S City: Miami Shores County: Miami Dade Zip: 334se Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: N (Fee Simple Titleholder): D�fv (2d- I A,/,, r ��1 �`ain Phone #: 305' ?.mil "ec foe Address: / 5—, AG 7-'0? S' 7 City: /expi / J A at- e State: /' Zip: Tenant/Lessee Name: Phone#: .5C95- ` 75_f -? ?Z® Email: CONTRACTOR: Company Name: goo/Y/1/Ls- Phone #: Address: t ceo T 0 '° City: � -$ c.../ '��-.. Q-/-- State: Zip: ?--g) 4/ Qualifier Name: Phone #: State Certification or Re #: Certificate of Competency #: `7 � � J % Contact Phone #: as ®gistration I. 1riy Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: .757:- of b QI Type of Work: °Addition Alteration °New Repair/Replace °Demolition Description of Work: pry( $ Color thru tile: **** ***+ r+ x*+ x****+r ************** : x: ******* Fees********************** **: x******************* Submittal Fee $ Permit Fee $ /0 ©Q'b CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 31" 60 tonding Company's Name (if applicable) l3onding Company's Address City State Zip VIortgage 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 MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RRECORDING YOUR NOTICE OF COMMENCEMENT." otice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must romise in good faith t t a copy of the notice of commencement and construction lien law brochure will be delivered to the person hose property is subjt to attachment. lso, a certified copy of the recorded notice of commencement must be posted at the job site or the first inspecti. which occurs ev n (7) days a r the building permit is issued. In the absence of such posted notice, the nspection will not b ' approved and r nspection feet 'ill be charged. ignature &Alai 1 - _ 4 / Signatur Owner or Agent I e foregoing instrument was acknowledged before me this 65 The foregoing instrument was ackno ay of , 2011-, by+i( -- �`�'/ -14 4� day of 201 by ho is personally known to me or who has produced P— I who is r As identification and who did take an oath. Contrac NOTARY PUBLIC: l \ \��V@re Sign: )?rint: My Commission Expires: la Ale oi 0� Ninstimito. onally kno , 'e or as identificatio NOTARY PUBLIC: d before me this ho has p dw duced t did take an oath. Sign: . /ze Print: My Commission Expires: Pte, co; ? c �, • � 14Z1 Plans Examiner Zoning *****+ r** *************+x+x*** ** **** * * **** nix+ x***m ***x+ a:***+ x* **** ****** ********+x**x:**m*+x*+x+x*+x*** PROVED BY Structural Review evised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk Snores F.-u""°°BY DATE orida Biiilding Code Edition 2010 r 3 DEPT tacky-Hurricane Zone Uniform Permit Application Form. _RECEIVED SEP 2 1 2012 H 1 OCT 10 CCAIPI III"ICE WI 11-1 ALL FEDSeLlion A (General Information) E Amasteepertnitow AND REGULATIONS Process No. Contractor's Name Job Address t 1 ° fre CI Low Slope 0 Asphaltic Shingles -0 New Roof CI Reroofing ROOF CATEGORY El Mechanically Fastened The 0 Metal lanel/Shhuiles El Prescriptive BUR-RAS150 ROOF TYPE 0 Recovering ROOF SYSTEM INFORMATION /Adhesive Set Tice El Wood Shingles/Shakes 0 Maintenance Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) . Section B (Roof Plan? 6 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. 11111 1 II 1111 wriammmEN aini • Er 111111111111111111111111111111WAIMPI 111111111111111IMMIM1111111111I 1111111111/111111111 111111111111111111111 111111 2010 MORD:WSW-DING CODE — BUILDING