RF-12-1293Miami 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 Type: BUILDING]
JOB ADDRESS: 3g g /
City: Miami Shores County: Miami Dade
Folio/Parcel #:
Is the Building Historically Designated: Yes NO
40ivi1, - 4&&2S
OWNER: Name (Fee Simple Titleholder)' 0-1 964 1201-1/4J166- Phone#: 7g6 3G b - 3q02.
2.
Address: 34S- AE ) 05 Sel-
City: A-4It'17'11 .3 6/..475 State: Zip: 3-517.e
JUL 1
B Y:
L
r
FBC120
Permit No. W 1� - 17Z9.5
Master Permit No.
OOFINO
zip: 3513 d
Flood Zone:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 1 t `11 g°0" El /NC" Phone#: 75V
Address: '%K AE f O b 6T
City: /t./r11fo.I
State:
Zip: <53/3k
Qualifier Name: Phone#:
State Certification or Registration #: )0 j '7) 0 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ #7 Square/Linear Foo .: e of Work: 20 Cc'
+ Q Type of Work: OAdd t on CIAlteration ONew /Replace ODemolition
Description of Work: tallANC ° 0 -11A01 A(&w' 2-t - C 6 6 g
ocorit. lam, ivrnJ icer,,G rr t Qo4/i‘i 4 eye
;.. g 'T-44S-704-u- - -T MG -
Color thru tile:
******* ***+ x+ u******* ******************** Fees********+n***** * * ** x**w**+x **********+x ********
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ •' '
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 1 Zip
Application is hereby made to obtain a permit to do the work and stallations 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
6944 id /1/7S
Owner or Agent
Signature -go _ P.. cL �
Contractor
The foregoing instrume as acknowledged before me The foregoing instrument was ackno . ged b
�6 �( ®vb✓��1 /�} �L� . a 20 i , by
d , by - , day of 5
who is personally known to me or who has produced wh ` ersonally known to
As identification and who did take an oath.
LIC:
Print: NItiJi csNOTARYPUBLIC•STAPEOFFLORIDA
j Michelle Burgos
J My Commission Expires: r Commission # EE128535
-.,,n���o•" Expires: SEP. 09, 2015
BONDEDTBRII ATLANTIC BONDINGCO.,INe
e or who has produced
as identification and who did take an oath.
APPROVED BY �� 7 / o Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
NOTAR UBLIC:
Sign:
Print:
My Commission
1!i
frop
CLAUDIA V. CUBIL 1
o r p of Florida
.,'FY' ,,, n.1 My Comm. Expires Sep 23, 2015
%� o, , Commission # EE 128810
�; s til ,c
; , :, ,,
Bonded Through National Notary Assn.
Zoning
Clerk
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
ail`
JUL_ LL ,
BY: - - --
Miami Shores Village
APPROVED
BY
DATE
ZONING DEPT
Florida Building Code Edition 2C
,. High - Velocity Hurricane Zone Uniform Permit App ica>m
!yet tion Snnnral Inferrytatjo
t
DG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
TATE AND COUNTY RULES AND REGULATIONS
/31/
Master Permit No. Process No.
Contractor's Name 7)41Z1/ .Oo 6 /NV
Job Address y' d /E /0
❑ Low Slope
❑ Asphaltic
higles
❑ Mechanically Fastened Tile
❑ Metal Panel/Shingles
Mortar/Adhesive Set Tile
❑ Wood Shingles/Shakes
❑ Prescriptive BUR -RAS 150
ROOF TYPE
❑ Reroofing ❑ Recovering Repair 0 Maintenance
ROOF SYSTEM
INFORMATION
Steep Sloped Roof Area (SF) X
Total (SF)"X'
SCrtfen R /Reef 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.
•
FLORIDA BUILDING CODE — BUILDING
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.li - Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of
providing that the roof system meets the wind resistance and water instruction performance standards.
Aesthetics (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.
2. 'W^ Rending wood decks: When replacing roofing, the existing wood roof deck may have to be
renalled in accordance with the current provisions of Section R4403. (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
units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing to be performed.
4, 1- Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can
be view from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail
penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the
appearance.
5. r L 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. Pounding can be an indication of structural
distress 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.
6.— Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not
overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if
overflow 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.
7. 1.pra- Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
X644
Owner /Agents
411. bf2olz-
ignature Date
Revised on 7/9/2009 ID