RF-11-2151Miami 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
BUILDIN6
PERMIT APPLICATION
FBC 20
Permit No. l 1--21S1
Master Permit No.
Permit Type: BUILDING ROOFING
Owner's Name (Fe Simple Titleholder) "Sol) w 3 Qncle Phone #
Owner's Address 0,b P& l0 &a �-
City 141 c yr . Yes State 1 1 Zip Z515?
Tenant/Lessee Nam
Email
Phone #
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Dg'5 NE ID 3''c! s{'
County Miami -Dade
Zip 3V Be
NO
Contractor's Company Name1 Q(ii1 'i l
Contractor's Addres (9((r) NW '1O1
City 'rn-tarlit State 1
Qualifier Name vier a 14a4 r z.
Phone #
Flood Zone
eoa (15u "6-6
Zip -531 6b
Phone #
State Certificate or Registration No. Certificate of Competency No. //
Contact Phone V e� V. al, if E -mail n l)Ciyrli 1 4'fr 5�/c`. �l °i yOffGw. Cow
Architect/Engineer' Name (if applicable)
Phone #
Value of Work For this Permit $ io °M. 00 Square / Linear Footage Of Work:
Type of Work: LlAddition DAlteration DNew I Repair/Replace D Demolition
Describe Work: qeeat ✓ r-gecket ca, -j scut) Af
g a b '
Notary $
Scanning $
Double Fee $
Structural Review.
* ** * * * * * * * * * * * * * * * * * ** Fees**, k**** * * * * * * * * * * **** ** * * ** * * ** ** * * *** x*** **
Permit Fee $
/4c, As*-
Training/Education Fee $
CCF $ CO /CC .$
Technology Fee $
Radon $ DPBR $ Bond $
Violation date:
d
Total Fee Now Due $ �r
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 after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged..
Signature X.
Owner or Agent
The forego ent was acknowledged before me this r
day of , 20 (l , by Ike_
who is personall known to me r who has produced
As identification and .
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before e thi %744
day of JJ04k , 20 11 , by .1.4140/,' /4( ,
ersoru known tom or-who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My C
v" - i';":
ni Ries .2012
F, •,,, sslon # 00 779122
Through National NatarY ►.
//'J'P1ans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06 /10/2009)
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA'
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
This Notice of Commencement should be recorded at
The Clerk of Courts •
MIamI -Dade County Recorder
Courthouse East, 22 NW First Street, 1st Floor, Miami, FL 33128
1111111 111111111111111 1111111111 1111111111111
CFN 2011R0779918
9918
OR Bk 27899 Ps 2392; (1Ps)
RECORDED 11/18/2011 12:38 :40
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY► .FLORIDA
LAST PAGE
I - L- egat- descrapfomof- property and street/address: e 8 5 Ii /0 rd s�
Miami ,311dreS F j 33/31
2. Description of improvement:
f4 ("Am
fl k.
3. Owner(s) name and address:
,P✓
Iut•r;� -tl,,
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name and address:
s, t
5. Surety: (Payment bond required by owner from Contractor, nyy
Sy'A 0t FLORIDA, COUNTY OF DADE
Name and address: a if a wcraFSy �rFRTIFV that this Is a true copy of to
hriain0 yid
NUV1 y„ ( AD20
art Al Y., q �• y ]
6. Lender's name and address .gib �, ,M. ad It", ii
Amount of bond $
7. Persons with the state of Florida designated by Owner upon om notices or other documents may be served as
provided by Section! 713.13(1)(a)7., Florida Statutes.
Name and address:
8. Ih addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9.. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signatu of Owner
wner's Name
Prepared by alti Ct
aoklaz
,
Swom to and subscribed'before me this 11�FI
. r day of N/0414( , 20 _.
Notary Public
Print Notary's Name
JOSE IL WARitit-
My commission expir'res: 7 t3 9.oi�. i�:_ a�u as ' �'a' _ (Seal)
•
d►
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner
with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section
R4402 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 ant the
contractor. The owner's initial in the designated space indicates that the item has been explained.
1.
Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of
priding that the roof system meets the wind resistance and water instruction performance standards.
sthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues
such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of
the agreement between the owner and the contractor.
Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be
ail in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior
t• removing the existing roof system).
a, Common roofs: Common roofs are those which have no visible delineation between neighboring
s (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or
ner should notify the occupants of adjacent units of roofing to be performed.
Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can
viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail
netration of the underside of the decking may not be acceptable. This provides the option of maintaining the
appearance.
5. . __ Ponding water: The current roof system and /or deck of the building may not drain well and may
'se water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural
tress and may require the review of a professional structural engineer. Pounding may shorten the life
expectancy and performance of the new roofing system. Pounding conditions may not be evident until the
original roofing system is removed. Pounding conditions should be corrected.
Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not
o erl • a• ed from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if
verflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the requirements of Sections R4402, R4403 and R4413.
Ventilation: Most roof structures should have some ability to vent natural airflow through the
nor oththe structure assembly (the building itself). The existing amount of attic ventilation shall not be
uced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
er /Agents Signature Date Contra r Signature Date
__/4Nn
Revised on 7/9/2009 LD
ROOF ASSEMBLIES AND ROOFTOP STRUCTU
NOV �- 8X011
BY
Floridal uildirig "Cod`e`Ldition
High - Velocity Hurricane Zone Uniform Permit Application Form ,-C)
Section A (General Information).
D.ATE
11H ALL F"Ecn
Master Permit No. Process No.
Contractor's Name t(im1 1 6 ys _ m�
Job Address QS 5 1U 10 -sb' t 3
i/Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile
❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes
Shingles
❑ Prescriptive BUR -RAS 160
ROOF TYPE
❑ New Roof ❑ Reroofing ❑ Recovering fr Repair ❑ Maintenance
ROOF SYSTEM
INFORMATION
Low Slope Roof Area (SF)
Steep Sloped Roof Area (SF) Total (SF)
Sertinn R /Rnnf 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.
a
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FLORIDA BUILDING CODE — BUILDING
4.