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RF-08-62741%4\ krg` J7Q11 is Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) ® 2. "i(Ra.00 Phone # � ®� s o c� , Ji"'t ' R 2108 B Y: Permit No. 006.61:-.) Master Permit No. Owner's Address f City. it State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 105 I\\ 100 City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES County Miami -Dade Zip Contractor's Company Name 'Contractor's Address City Qualifier Name J. ciN Phone # � T y 1 ' State Zip • P Phone # >� �+ i 7 0 State Certificate or Registration No. Certificate of Competency No. �'�"__ Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ % b Square / Linear Footage Of Work: V6 0 Type of Work: ❑Addition ❑Alteration ['New Describe Work: ❑ Demolition AA ******** * * * * * * *** * ** ** *** * * * * **** **** ** Fees ** * *** ***** * * ** * *** * **n�:�x�x*** * * ****:x�x� * ** ** Submittal Fee $ Permit Fee $ f - CCF $ 1.90 CO /CC Notary $ �' l Training/Education Fee $ l '40 Technology Fee $ 2 ' () / Scanning $ lg CO Radon $ DPBR $ ' Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 115.10 See Reverse side --> 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 aftek, the building peued In the absence of such posted notice, the inspection will not b roved and a reinspection fee will charged. O r or Agent The fore ring instrument was ac owledged before me this day of t� , 20 a, by who is personally known to me or who has produced "(L b L who is As identification and who did take an oath. q� NOTARY PUBL C: Signature. Contractor The fore_oin instrument was ackno day of ,��1.1, , 20(, by Sign: Print: ID My Commission Expires: \co V ***** ida $ * ** 1 ledged before me thisiV iS 1412 Al -rsonally known to me or who has produced identification and who did take an oath. OTARY PUBLIC: Sign: Print: VIy Commission Expires: *********************t APPLICATION APPROVED BY: (Revised 07 /10/07) Plans Examiner Engineer Zoning Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 468 NE 100 Street Miami. Shores Village, FL Owner Information Parcel Number Expiration: 10 /08/2008 Applicant Address 1132060170340 Block: Lot: ROBERT Phone Cell ROBERT 468 NE 100 ST MIAMI SHORES FL 33138 Valuation: Total Sq Feet: Type of Work: Repair Additional Info: COLOR THRU REPAIR Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Repairs Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $100.00 $6.00 $2.50 $115.10 Total Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type: $ 0.00 $ 1,200.00 160 Available Inspections : Inspection Type: Roof Repair Final Roof In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 11, 2008 Date Friday, April 11, 2008 1 ri 1,:M0ME7/77_7:,:.- APR 162O B Y: Iti--, SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisi s. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be ad ressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner si46uld ngfify the occupants of adjacent units of roofing work to be performed. _4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrat' ns of the underside of the decking may not be acceptable. The Florida Building Code provides the option f maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing /system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof .is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Florida Building Code, Plumbing. _L "ff 7. Ventilation: Most roof structures should have some ability to vent natural ai o�dv 'r ugtfthe i Lt or of the structural assembly (the building itself). The existing amount of attic ventilation shalno rt��llt ay be beneficial to consider additional venting which can result in extending the service life of • -,/4B 4717<e)A5 r Property Address /%4N/ SH, v'73f Contractor's Signatui+ r Permit N Rev:112012005, Computer Services, Building Department •••• • •• •• • • • • • • • • •••• • • • • •••• • •••• • • •• • • • • • •• • W! MIT #: / 025-G Miami Shores Vif's APPROVED I OHWG DEPTI DG DEPT BY ECT TO CGMPLIANC'.'vNI H ALL FEDERAL JD C,fUNTY RULES AND REGULATIONS Florida Building Coda Edition 2002 High Velocity Hurricane Zone Uniform Porn* Application Form. Section A (General infonrnation) Master Permit No Process No.fm *lob Address Zi /z)0 Contractor's Name O Low Slope O Asphaltic Shingles O New Roof ROOF CATEGORY O 'Mechanically Fastened Tile 0 Mortar/AdhesIve Set Tile O Metal Panel/Shingles 0 Wood Shingles/Shakes Are there 0 Prescriptive BUR-RAS 150 Gas Vent Stacks? Yes LI No LI ROOF TYPE Type: Natural 0 LPGX 0 Re-Roofing 0 Recovering Repafr '0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) (GP D Section 13 (Roof,Plani Sketch Roof Pan' 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 immommormmummumnammummummommummommommummummammummimummimmsmimanm immimprOnsmannammissuppolpimpossimplumminalminummumempsimappanninimiOlimummil IMEMNIMINNIMmulpssimminunimmismnisinismmommimmummalmammummilmilmmissimmism NUMMOKOMMOMMINIMMINIMMIMMONNEMEMMINOMINSIONXIMUSIMMININNOMONNINKMMOMMONSEMM IMMIMUMMMUMEMMOMMENNUMUMMEMOWNIMMSEMMOOMMUMMUMISMIIMMOMMOWNIMMUMONEN IMMUMMUMNIMMINUMMMMUMNUMMONEMMMOMMOMMIMMIMMMOOMMOUNIMMEMSWIMINNUNIOSIMMINOM IVOIMMISOMMWSMEMIMMUNIMMOMMUMMUMMINNIUMMOMMOOMMINIMMONNIONIMMIOSIMMEMOUNUM IMMIMMOMMOMMENOMMINOMMEMUMMEMOMARMMUNINNOMMUMMMEMMIIMMISMENMINVIIMMMOMMOU inimminampunnOMMEnamminsinsminnsmaminuppmminmanimasimurnplinmpumminimappmpli IMMMapplinimmanipmaipssemposimmimplaminimmOMPPOrnimmomminimpiarmapplimparnmill ROMMMUMUMUNWINSIUMMERMOMMOMMESOSIMMUMWMIRMWOOMEMEMEMOMNIMOMMIMMINIMME InainnimplinsponsmumplimismOompsitimmillyipmainamMornammaRMOOPOmmumplimpimpOOM NUMMUMWMUMWOMMINIMOMUMMXIMMONOMMIMMOmMONERNMOMMIUMNUMMIMMIMMONMOORMINNIMM IMMMUMONIUMMORMEXIMMONMOMOWNIMMUMMIMMOMMIMIMMUMNMINKNOMNIMMIXISMAMMIMOOMMII HISUMEMMUMNIMMUMMIMMUNIONNUMMUSUMMMONIMMOMNIMMINMUMNIMMINNUMMUMUMWWWWWWW1441 INIMMIMOMMIMMWRIMMIMMEMMOMMINMMOMMUNNUMMOUMMMONMMONSMISMMOMMIMMOMMISWORIMM IMMUMMNOMMUINIMUOMMOMMMOOMMUNOMMINNOMMINUNIMOMMEMMUMMENNIMMWM4MOOMMIWASO 1111111111SOMMMIUMMINIONMEWHOMMIMMICIMUMMENUOMUMUMMOMMIXIMMIWWWWWWIMINIMMV9141. 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INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4•5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. •••••• 4.... • •••• "' • . From Notice of Acceptance: Front Page Specific System Description . S�►ecific System Limitations • *General Limitations • •: •Applicable Detail Drawings 3. •••••• -, • Design Calculations per Chapter 16, or if Applicable, RAS 127 or RA�'l28 4. Qijgsromponent Notice of Acceptances • .... 5. Mublc'pai Permit Application •••• 6. QuEners Notification for Roofing Considerations (Re- Roofing Only) •'." .7. Any'Required Roof Testing /Calculation Documentation