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RF-13-1330Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 193454 Permit Number: RF -6 -13 -1330 Scheduled Inspection Date: June 19, 2013 Inspector: Rodriguez, Jorge Owner: CRISWELL, RICHARD Job Address: 32 NW 93 Street Miami Shores, FL 33150- Project: <NONE> Contractor: RTI SERVICES, INC Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number (305)448 -2764 Parcel Number 1131010170060 Phone: (305)274 -2933 Building Department Comments MINOR ROOF REPAIR ON 3 AREAS OF LEAKAGE Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 19, 2013 For Inspections please call: (305)762 -4949 Page 30 of 38 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 BUILDING BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 32 A/W ` 5 % ,,,,/� City: 41-,1-14, Miami Shore County: Jai d6 Miami Dad4L Zip: Folio/Parcel #: // 001-017 -0 06 0 Is the Building Historically Designated: Yes NO (` Flood Zone: OWNER: Name (Fee Simple Titleholder): '/ `G /? ri' .`j , gfa. ` Phone#: 7 igr, ,-khd /i % Address: ) 6 � ^ City: &l% � %y�i� , State: T-L-- Zip:' ArZ- FBC 20 t0 Permit No. Master Permit No. i —A33 0 ROOFING Tenant/Lessee Name: ll j Phone#: Email: T - b 118 6 T" � y4-Hre. % CONTRACTOR: Company Name: TT Saauites d .ITM c. Phone#: Address: /c; r 40 SW ,I47,28 Ct City: At A elk:, State: F Zip: s Qualifier Name: VC F Phone#: State Certification or Registration #: C CC-0 Certificate of Competency #: Contact Phone #: , c 67? -5 Email Address: 9 S XV ,4- t C at DESIGNER: Architect/Engineer: Phone#: APPROA Value of Work for this Permit: $ 900 R 0 0 Square/Linear Footage of Work: Type of Work: ClAddition CUAlteration ONewRepair/Repiw ODemolition Description of Work: M; pf ®Q, R OQ r R PAIRS DNS 3 RRCA'1 or i It A K A G C ,,A E T' A t i,,. S (9 t o S E L .18," 14 fro) C.N1 d.d Color thru tile: "r RR,ACnTTO G,aAy ******** * * *** ** ****** * * * * ** *** * * * * * ** ** Fees************ Jc* * *** *** **** **** * *** ** ** * *** ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training(Education Fee $ Technology Fee $ Double Fee $ Structural Review $ fi 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 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 EIF.CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, REA 1') RS, 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. Owner or Agent The foregoing instrument was acknowledged before me this 1/ day of jiz jJJ , 20 , by _Ceekto f , w► personally known me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir= Y. 1, EXPIRES: July 9, 2014 Bonded Thru Notary Public Underwriters Signature The foregoing instrument was . knowledged before me this `V day of J mot' ,20/3,byr!i.r,r to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commission SHERRY PIERCE oAi MY COMMISSION # DD 969119 7 EXPIRES: July 9, 2014 Bonded Thru Notary Public Underwriters ********************* * ** * * * * * * * * * * * * * * * * * * * * * * * *** ** Q* ******** *********** *+k*** *, *** ***** * ****** * ****ok****d:** APPROVED BY ‘,./ge - 13 Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06 /10/20(19)(Revised 3/15/09) Clerk OP ID: IDHE `' -- CERTIFICATE OF LIABILITY INSURANCE °"'�`�28/12 11!28/12 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 305-648-7070 Avante Insurance Agency, Inc. 7490 West Flagler street Fax: 305 - 648 -7090 Miami, FL 33144 Irma I. Qulspe CONTACT NluwE: a ,, Exc): [AAinc. No) ADDRESS: PRODUCER CUSTOMER ID S: RTISE -1 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED R.T.I. Services Inc. 12240 SW 128 Court #104 Miami, FL 33186 MICD A f .Q ft.......- ...._- - -- INSURER A : Brldgefield Casualty Insurance UABIUTY OCCUR INSURER B INSURER C : INSURER D : EACH OCCURRENCE INSURER E : INSURER F: DAMAGE 1 O REN fED PREMISES (Ea occurrence) THIS INDICATED. CERTIFICATE EXCLUSIONS 1LTR KMVI.`IIVN NUIt6I5MK: IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDI77ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE AWL INSR SUBR Yi(YD POUCY NUMBER POLICY EFF (MM/DD/YYYY) POLICY IMP (MM4/DD1YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL UABIUTY OCCUR EACH OCCURRENCE $ DAMAGE 1 O REN fED PREMISES (Ea occurrence) $ CLAIMS -MADE MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLIO 1 1 LOC $ AUTOMOBILE LIABILnY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per acctdarrt) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION � PROPRIE�R/P RTTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory M NH) es, describe tinder DESCRIPTION OF OPERATIONS Y! N N / A 830.48555 12/01/12 12101113 INC STATU- OTH TORY X ER I E.L EACH ACCIDENT ACCID $ 500,000 below EL DISEASE - EA EMPLOYEE $ 500,000 E.L DISEASE - POUCY UMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) r CCITICIA A rC L.A.n...ti ANCELLATION MIAMISH Miami Shores Village 10050 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LL ACORD 25 (2009/09) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RTIS001 OP ID: KM `"� ---- " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/26/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER J.W. Edens & Company 321- 725 -7000 Commercial Ins of Brevard, Inc 321-725-7856 325 Fifth Avenue, Suite 108 Indialantic, FL 32903 Theresa C. O'Brien CONTACT NAME: FAX No): (T�NNo. �). E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAtc # INSURER A ;Canal Indemnity Company LIABIIJTY COMMERCIAL GENERAL LIABILITY INSURED RTI Services, Inc. 12240 S.W. 128th Ct, Ste. 104 Miami, FL 33186 • nnv=o A r2CC INSURER B INSURER C 03/05/13 INSURER D : EACH OCCURRENCE INSURER E : 500,000 INSURER F : PRR SES Ea occurrence) -- _-- •- ��-• -v �.CRttrwA1Cr1uwJ tc: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN RFnI I( r BY PAID CLAIMS I INSR 1 LTR TYPE OF INSURANCE ADDL INSR SUER W VD I POLICY NUMBER POLICY EFF (AAMfDQ/YYYY) POUCY EXP (MM/DD /YYYY) LIMITS A GENERAL LIABIIJTY COMMERCIAL GENERAL LIABILITY , OCCUR GL104212 03/05/13 03/05/14 EACH OCCURRENCE $ 500,000 X PRR SES Ea occurrence) $ 50,000 CLAIMS MADE 1 X MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 500,000 X POLICY jECOT- I I LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS -OWNED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ NON AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LAB � OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y ! N N / A WC STATU- OTH- I TORY LIMITS . ! ER ! ( E.L. EACH ACCIDENT $ below E.L. DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ • DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) r•CCTrGV" A TC IJrt, t\�� CANCELLATION MIAMISH Miami Shores Building & Zoning Department 10050 N.E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE Theresa C. O'Brien ACORD 25 (2010/05) 01988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THI$ DOCO ENr.HAS A COLORED BAC€.f 0 NO ►TAT S OF FL ELATION SE 1+12052500663 .L;ND =CO244 • KEN LAWSON SECRETARY PLAYAS REQUIRED -BY Miami -Dade County - Local Business Tax - Payment Process Page 1 of 1 MIAMI -DADE COUNTY - LOCAL BUSINESS TAx Pay Your Local Justness Tax -ase pk int this pg, e for yozw records. You will receive an a -Mail confirmation containing this payment information within an hour. CONFIRMATION OF PAYMENT Receipt Amount Due: View Number: Details: 151987 -6 $75.00 Payment Date: Payment Time: Amount Paid: Authorization Number: Card Holder Name: Credit Card: Confirmation Number: E (4eS 3oS6f 08/03/2012 07:46:00 EDT $75.00 240988 RTI Services Inc Amex - 3007 55173 o Copyright 2003 Miami -Dade County. All rights reserved. Privac' Policy Main Page Master Perm R rr * • Contractor's Name Job Address 3;. tJtJ 9B ew Roof ROOF CATEGA ANL) CCAA ril,LzS AND REGULATIONS • 0 Mechanically Fastened Tile 0 Metal Plinel/Shireles Preemptive SURA S 1 0 'IdoriarlAdhesive Set Me CI Wood Are there • GEIS Vent Stacks? - • • • • YeeD NoVr"' ROOF TYPE • Type! Natural LPDX0 0 Pelt 0 Recovering X Repair 0 ROOF SYSTEM INFORMATION Low Slope Roof Afee (SF) Steep Sloped Roof Area (SF) Total (SF) 413e15)( /6° • Pi • Sketch Roof Nem Illustrate an levels and sections roof drains, scuppers, overflow scuppers and overnow drke. include &mansions of sections and levels, ckarly identify dimensions of elevated means aortas and location of prpets. Rsmovr Awl Rrjt45i4L. ct..#1), rit.crorAc,;144.zaz Repo; s oks AAEAS or' 1...EAKAGrECBOV() A ri 4, is m ric 1.1 Els; SrAIG, Ct-eSELy AS P 01-1•1 fay fir 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 govern 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. L' 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are 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 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. A e 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). R(f, 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 work to be perfonned. 6 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 penetrations of the underside, of the decking may not be acceptable. The Florida Building Code provides, the option of maintaining this appearance. 5. Pending 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. P✓ 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 the Florida Building Code, Plumbing. L'i- 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural 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. Owner's/Agent's Signature Date