RF-13-1105Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 195369
Scheduled Inspection Date: July 19, 2013
Inspector: Rodriguez, Jorge
Owner: SMITH, PATRICE AND SCOTT
Job Address: 358 NE 101 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MURPHY ROOFS
tfunming uepartment comments
FLASH NEW KITCHEN AND BATH VENTS
Permit Number: RF -5 -13 -1105
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 191775.
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
1132060135280
Phone: (305) 892 -1700
July 19, 2013 For Inspections please call: (305)762 -4949 Page 18 of 29
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 191775 Permit Number: RF -5 -13 -1105
Scheduled Inspection Date: July 17, 2013 Permit Type: Roof
Inspector: Rodriguez, Jorge
Inspection Type: Final Roof
Owner: SMITH, PATRICE AND SCOTT Work Classification: Repair Roof
Job Address: 358 NE 101 Street
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1132060135280
Project: <NONE>
Contractor: MURPHY ROOFS Phone: (305) 892 -1700
Building Department Comments
FLASH NEW KITCHEN AND BATH VENTS
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 16, 2013 For Inspections please call: (305)762 -4949 Page 11 of 38
C_
Miami Shores Village MAY 2 0
Buildinz Department
90050 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: BUII,DING
FBC 20'[0
Permit No. OS
Master Permit No. a 7�
ROOFING
JOB ADDRESS: -3 j o I
City: Miami Shores County: Miami Dade Zip:
FoliotParcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple
City:
11
0
State: Zip:
Tenant/Lessee Name: phone#;
Email:
CONTRACTOR: Company Name: 01 U_6
Address: / d> e. r,, --p V
City: J2,,)- �C -�aT*a . k State: zip:_T�
Qualifier Name: �.r�l C -f Phone#:
State Certification or Registration #: Certificate of Competency #.4 1
Contact Phone#: Email Address:
DESIGNER: ArchitectlEngineer: Phone #:
Value of Work for this Permit: $__ `� auare/Linear Footage of Work:
Type of Work: DAddition DAlteration ONew epair eplace []Demolition
Description of Work: r— / g ". ivy . V -r�_s
Color thru tile:
s�
Submittal Fee $ 00 Permit Fee $ leO r CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $,
Notary $ Training/Educadon Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ ' lam./
l
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State it 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 wilpgt je apprgved and a reinspection fee will be charged.
Signature l;-- ' - Signature , ` )\J �� /
Owner or Agent
The foregoing instrument was acknowledged be RIC�)S�
day of ##As , by ��• e ... !go
wh s to me or o ha's prod>��
identifica on =.uld whatN aath.
NOTARY PUBLIC:
Print:
My Commission Expires:
APPROVED BY
Commission I '
Contractor
The foregoing instrument was acknowledged
day of 2(6, by
who is p rsonal known me or who ha.,
as identification and Ohl
Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Reviw4 3/15/09)
NOTARY
Sign:
My Commission Expires:
`�.10712016 ���
Commission �
aF OF
Zoning
Clerk
0
•
•
2%iF
a
DATE
§_mn 1A %( 06 6 4 r9 in
&i*fibn)
astarymit No. Process No.
contractoes Name 41<"\ C-)' � 'q
HIVA-VELOCITY HURRICANE ZONES .
Job Address
ROOF CATEGORY
❑ Low slope ❑ Mechanically Fastened Tile Mo rJAdhealve Set Tits
❑ Asphaltic ❑ Metal PeneWhingles ❑ Wood ShinglesiShakes
Shingles
❑ Prescriptive BUR-RAS ISO
ROOF TYPE
E3 Now Roof ❑ Reroofing ❑ Recovering "R pair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) StOOPSIOPed Roof Area (SF.) Total (SF)
4'
f
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow
scumem and nvnrflnw drain- i_m ... a- _& -------
Identify dimensions. of elevated Pressure zones and location
;Lfk�a
-Pets.
.71
T
4-
2010 FLORIDA BUILDING CODE —RESIDENTIAL