RF-12-1640Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 178019 Permit Number: RF -9 -12 -1640
Scheduled Inspection Date: October 16, 2012
Inspector: Bruhn, Norman
Owner: CASTANEDA, DAVID & KARA
Job Address: 68 NW 97 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: MURPHY ROOFS
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number (786)281 -1825
Parcel Number 1131010330340
Phone: (305) 892 -1700
Building Department Comments
REPAIR ROOF
Inspector Comments
Passe Z
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 9 of 40
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
j� INSPECTION'S PHONE NUMBER: (305) 762.4949
U LDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): thaid Mal C d Phone #: i 0
Address: 62 Si;
City: t At an. i eS State: Zip: ni
Permit No. `2' "' t
Master Permit No.
Tenant/Lessee Name:
IAN
Phone #:
Email:
JOB ADDRESS: c+ AU.) 014i4N St
City: Miami Shores County: Miami Dade Zip: ..3,15:1
Folio/Parcel #:
Is the Building Historically Designated: Yes NO X, Flood Zone:
CONTRACTOR: Company Name: fr1 Phone #: 3 �'V / k(
Address: l () 0-> A) $ —% +'
City: State: Zip: / L G
Qualifier Name: Phone#:
State Certification or Registration #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 0 `- Square/Linear Footage of Work:
Type of Work: ❑Addition UAlteration New CORep cel
ertificate of Competency, #:
ODetnolition
Description of Work:
N
** ** * * ** *********a *** *+ x******a:********Fees ** + xa ******* ********* *************+x********
Submittal Fee $ Permit Fee $ k W . CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $J
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
ortgage Lender's Name (if applicable)
ortgage 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
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
pplicable 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 -- ' a reinspection fee will be charged.
ignature
The fore
day of
Owner or Agent
ing ins mentaas a�kknowlleedge efor
20 , by 1'--“' x..
hhoo is pe(rssonailly known to me or who has produced' r \.
ziU (J lJ cation and who did take an oath.
OTARY 1' UBLIC: •
igt:
y Commission Expires:
Signatu a�/l
The foregoing instrument was
day of 31
�+h
CUBILLOS
•PUe?., Nu Uhc State of Florid`;
__ c,, NotaN m. Expires Sep 23.'
s +!'.a; ...Commission # GE 12880
, Through National Notary' Assn.
. onded
ontractor
acknowledged before me this L
ersonally known to
y fa(i�ti �S rhuePH1.
e or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
",Ch th "4 4 .O'
i
a kakskskik�Iaaksksk�k�I :ak ****HasIa�IsHa******* ak�Ia�Iaaks kaksIasksksksksk�knkaksksls�kskskak�k* aksksksksIa�IasksIaakaksk�kakak�IaaksIa* akakakak *�IasksR *sk�Isikskskikaknkak**
0��t /N� I n nnr+A```
PROVED BY / G.r� Plans Examiner Zoning
Structural Review Clerk
evised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
ROOF ASSEMBLIES AND ROOFTOP STRU
Master Permit No.
Contractor's Name
Job Address 63
012
AP:RRO \QED
ZON!t G DEPT
Floriida Building. Code Edition O1O
High - Velocity Hurricane Zone Uniform Permit Appli�atYar't=aei"
Section A_(GeneraJjnfonnatidI n) CT -� 0 GCP,I "I- If \P10E Wi fN ALL FEDERAL
Process No., :_'f t ^; F, t.,t � At ID REGULATIONS
ROOF CATEGORY
❑ Low Slope ❑ ;Mnlcally fastened Tile 0 Mortar /Adhesive Set Tile
❑ Asphaltic Shingles ❑ Meta/ Panel/Shingles'
0 Prescriptive BUR -RAS 150
ROOF TYPE
❑ New Roof ❑ Reroofing ❑ Recovering ❑ Repair ❑ Maintenance
0 Wood Shingles/Shakes
ROOF SYSTEM
INFORMATION
Low Scope Roof Area (SF) Steep Sloped Roof Area (SF) Total (S
(CD
Section B (Roof Plan)
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.
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15 . 2010 FLORIDA BUILDING CODE -- BUILDING