RF-12-1951Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP - 182591
Permit Number: RF -10 -12 -1951
Inspection Date: December 20, 2012
Inspector: Bruhn, Norman
Owner: SODBERG, ANNEMETTE
Job Address: 1143 NE 98 Street
Miami Shores, FL
Project: <NONE>
Contractor: MURPHY ROOFS
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number 305 -394 -9445
Parcel Number 1132050180270
Phone: (305) 892 -1700
Building Department Comments
REPAIR TO RIGHT AND LEFT RETURNS AT 2 FRONT
VALLEY
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
/64,b,
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 181867. CREATED AS
REINSPECTION FOR INSP- 181743. CREATED AS REINSPECTION FOR
INSP- 180180. NO LADDER ON SITE. JR
No ladder for insp. NB
LADDER MUST BE IN PLACE AND SECURE. JR
ej
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
December 20, 2012
For Inspections please call: (305)762 -4949
Page 1 of 1
BUILDING
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
Permit No.
FBC 20
PERMIT APPLICATION Master Permit No. -r i2 °- (q5 I
Permit Type: BUILDING
JOB ADDRESS: 1(I-3 NG
ROOFING
City: Miami Shores County: Miami Dade Zip: 3713 g
Folio/Parcel #:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Titleholder): ToNATi -kArl
Address: t' (1'3 ":g&
NO Flood Zone: 14°
SmY-f Phone #: 7 g b 9 532 (
City: h $L rr? i S1.1o(Z6
Tenant/Lessee Name:
Email:
State: P Zip: ? 13 �+
Phone #:
JSIN 555 l`1x'I . Com
ne\u.�
CONTRACTOR: Company Name:
Address: / t7 Q
City: S i e!
Phone #:0 d` W471
l y
Qualifier Name: _Th=7 �J [ S
State Certification or Registration #:
Contact Phone #:
DESIGNER: Architect/Engineer:
State:
Y f °
Zip: 9D J (,
Phone #:
CQificate of Competency #: I % 4S O3
Email Address:
Phone #; '
Value of Work for this Permit: $ L2 Square/Linear F
Type of Work: ❑Addition ❑Alteration
Description of Work: . SCA.As ..
ONew
2. t s Le.,p--
e of Work:.
eplace ODemolition
Color thru tile:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * ** * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /47 CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ V v '
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Zip
Mortgage Lender's Name (if applicable) P, T. (, ^L u 1 P4S‘
Mortgage Lender's Address \\ 0 5 %. ' S Av t. i- L4 t
City P1. LAvOL243 Lt. State F\.
Zip •3 \ (p
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 app ty d and a reinspection fee will be charged.
Signature
Own or Agent
The foregoing instrument was acknowledged before me this t �p
day of ockabur,201 a, by 3onak\'1Gn SM. {l. ,
who is per s_nally known to me or who has produced
As identi
NOTARY PUBLIC:
Sign:
Print:
Signature
Contractor
The foregoing instrument was acknowledged
day of Oc toSQ r , 20 11 a, by 0 , n'
who is personally known to me or who has p
anJA ..1talig gIMYTH-
MY COMMISSION # EE074185
EXPIRES March 27, 2015
398 -0153 FlorldaNaaryServlce.com
(1.1)n l.> >(e.ANe Sr,Y h
My Commission Expires: 1/al / i s
APPROVED BY
Plans Examiner
Structural Review
as identification and who did take an oath.
NOTARY PUBLIC:
s'APIN. JACQUELYN LISETTE SMYTH
.077 MY COMMISSION # EE074185
2015
My Commission Expires: 3 (al / { S
(Revised 5 /2 /2012XRevised 3/12/2012) XRevised 06 /10 /2009)(Revised 3 /15 /09XRevised 7/10/2007)
Zoning
Clerk
ROOF ASSEMBLIES AND
. L 1'2-572195 1 •
IVI arni STio'rers Village
Prin.■/ ED L 8Y DATE
ro STRUCTUJ
ZONING DEPT
DFPT
'H CT Fldridil' BUI
High,Vslocitylierraver
. . ,
..iziii--4r 1 c 0 i
Master Permft No. p No.1.12-1ci 1
Contractor's Name IMO Jt\i 0\1 (i;6,z-g a Its.
Job Address I I
OCT 1 2012
10
Foam
O Low Slope
O Asphaltic Shingles
0 New Roof 0 Reroofing
Low Slope nf Area (SF)
CATEGORY
O Mechanical* Pasbaned.
O Metal PanellShingles
• Prescriptive Elt/R-RAS 150
ROOF TYPE
0 Recovering
ROOF SYSTEM
INFORMATION
0 Maintenance
Steep Sloped Roof Area (SF) To (SF)
. B (Roof Plan)
Sketch Roof Plan: Mustrate all levels and sections, roof drains, Scuppers, overflow sauppes and overflow drake.
parapets.
Inducts dimenskms of sections and vets, .c dinuutsi O
ons of wned .pressure zones and location of
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