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RF-13-541Miami 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: 12- w G q5 ST . _- E C EFFTE JUN 062013 FBC 20 Permit No. RR— 3 - 13 - 51+1 Master Permit No. City: Miami Shores County: Miami Dade zip: 53t3 S Folio/Parcel #: 11320(,0010010 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Q r�VIPi.4 ScL fr- Phone #: Address: (1 12 N ; Ci 5 51- City: M Lam S k01JQ5 State: 1 • Zip: 33135 • Phone #: Cs) 77g 5103 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Z Address: 2625 w 3 CT Phone #: City: T1k e.Ue Q ' 1 Qualifier Name: State Certificatio or ' e Contact Phone#: 3 DESIGNER: State: il- XpOst CSC [ 3 24 C903 Certifi ate of Comp ency #: Email Address: q tlS Z rD c, cz, . CEm. Phone #: 33©tD Phone #: [3) tot 37 (p b. emit: $ rk. ` 'Addition OAlteration Work: Square/Linear Footage of Work: New ORepair/Replace ODemolition Color thru tile: ******a* ** * *** ****************** * * * ** ** Fees************* ***** ********* **** * *** **** ***** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ 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 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 h posted notice, the inspection will no . e . �l � rove 1 ., a reinspection fee will be charged. 6,7 Signature j / Signature Own r or Agent The foregoing instrument was acknow edged before e day of itt i tQ, 20 I by 1 int -aL,f I who is personally known to me or who has produced c As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 49"% MY SOOMNI1SSION # EE73987 IOCPIRES4 June OS, 2015 Contractor The foregoing instrument was acknowl day of , 20 P, by who is personally known to me or who h produced as identification and who did take an oath. NOTARY PUBLIC: ged before me this co S LISSETTE PACHECO COMMISSION # EE73981 EXPIRES: June 0: 2015 Fl. Notary Discomt Assoc. Co. 1.800.3- NOTARY Print: My Commission Expires: ********** x:x:**=x*:x*m*x:****** *** aim= nu ::t< ******* ********* ****** **** ::* **** ********* a::><****: x**** :x:x:xa:a:=w*******:x***** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Florida Building Code Edition 2010 eh V oity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) Roof Slope: : 12 Steep Sloped System Description Deck Type: 5(b Nuw00G) I Type Underlayment: Insulation: 4t- a ils-T-M RIt Ni Fire Barrier: N) i'} Fastener Type & Spacing: puce IR etd7 Adhesive Type: 518 T.C. 32 E . le S. Nails &''D•e.14p1 (0`a Co(,1erstd.Q( 014 Type Cap Sheet: ©i TM Pen- o± nic C VOE e12''TJ' Roof Covering: gaMuc(a, Cicr Type & Size Drips Edge: SUBJECT CO CCNIPI.Y.NCE WITH ALL FEDERAL STATE ANA CC UN 1 Y riLLES AND REGULATIONS Nag d e(4r Ro f System Manufacturer: r c. 10®'t- T I LQ- Product Approval Number: 11 - 0 1114 d D q Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: -4 .2.g P2: -50.0 P3: —50.D Maximum Design Pressure Product Appro o Specific System: 4-1. 3- Method o f e ent: SCYP,Ini Sv ti St ni ,2 Roof Slope: : 12 Steep Sloped System Description Deck Type: 5(b Nuw00G) I Type Underlayment: Insulation: 4t- a ils-T-M RIt Ni Fire Barrier: N) i'} Fastener Type & Spacing: puce IR etd7 Adhesive Type: 518 T.C. 32 E . le S. Nails &''D•e.14p1 (0`a Co(,1erstd.Q( 014 Type Cap Sheet: ©i TM Pen- o± nic C VOE e12''TJ' Roof Covering: gaMuc(a, Cicr Type & Size Drips Edge: SUBJECT CO CCNIPI.Y.NCE WITH ALL FEDERAL STATE ANA CC UN 1 Y riLLES AND REGULATIONS Nag d e(4r Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for Mrwith the values from K. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P1:-42 x x 2.05 = 55.x- 7) -M9: (o .35 = Mr, 2.42. Product Approval Mf 5 I. (P2: -50.0 x a , 2.05 =10.25 ) - Mg: u,35 = Mr2 3 .R Product Approval Mf5l (P3: -50.0 x X , 205 =10.25 ) - M9: to. 35 = Mr3 3' 9 Product Approval M151. Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mf Nit Required Moment Resistance* Mean Roof Height 15' 20' 25' 30' 40' -► RoofSlope4r 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P1: x 1: = x w:= ) - W: x cos 0: - = Fr, Product Approval F' (P2: x 1: = x w:= ) - W: x cos 0: - = Fr2 Product Approval F' (P3: x 1: = x w:= ) - W: x cos 0: - = Fri Product Approval F' Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier X Product Approval Restoring Moment due to Gravity M, Product Approval Attachment Resistance M, Product Approval Required Moment Resistance M, Calculated Minimum Attachment Resistance F' Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions I = length w = width Product Approval All calculations must be submitted to the Building Official at the time of permit application.